Individual provider · Type 1 NPI

Tara Dibattisto, PSYD

Clinical Psychologist · Fort Myers, FL

NPI number 1619563533 Active

Practice location

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Fax (239) 561-2933

Other practice locations

  • 2625 Executive Park Dr Ste 5, Weston, FL 33331-3634 · (239) 223-2751

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY9151 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1619563533

Tara Dibattisto, PSYD's National Provider Identifier is 1619563533, issued on Dec 15, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Myers, FL. The record was last updated on Dec 15, 2020.