Individual provider · Type 1 NPI

Cori J. Revak, PSY.D.

Clinical Psychologist · Fort Myers, FL

NPI number 1740372325 Active

Practice location

13430 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1812

Fax (239) 561-9779

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY6814 (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 1740372325

Cori J. Revak, PSY.D.'s National Provider Identifier is 1740372325, issued on Sep 29, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Myers, FL. The record was last updated on May 12, 2026.