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Dr. Michael P. Shain, PHD
Clinical Neuropsychologist in Fort Myers, Florida
NPI 1902898471

Michael P. Shain is a Clinical Neuropsychologist based in Fort Myers, FL. Michael P. Shain practices in Fort Myers, FL and has the professional credentials of PHD. The NPI Number for Michael P. Shain is 1902898471 and holds a License No. PY8801 (Florida).

The current practice location address for Michael P. Shain is 12600 Creekside Ln Ste 7, Fort Myers, FL and can be reached out via phone at 239-343-9220 and via fax at 239-343-9231. You can also correspond with Michael P. Shain through the mailing address at PO BOX 2147, FORT MYERS, FL - 33902-2147 (mailing address contact number: 239-343-9220).

Location: 12600 Creekside Ln Ste 7, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902898471
Provider Name
Michael P. Shain
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
12600 Creekside Ln Ste 7, Fort Myers, FL, 33902-2147
Phone Number
239-343-9220
Fax Number
239-343-9231
Provider Enumeration Date
08/19/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100323640D 05 IN
100323640A 05 IN
101839200 05 FL
680005356 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
12600 Creekside Ln Ste 7
City
Fort Myers
State
Florida
Zip
33919-3353
Phone Number
239-343-9220
Fax Number
239-343-9231
person
Provider Business Mailing Address Details
Address
Po Box 2147
City
Fort Myers
State
Florida
Zip
33902-2147
Phone Number
239-343-9220
Fax Number
239-343-9231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PY8801 (Florida)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PY8801 (Florida)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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