Provider Demographics
NPI:1902957343
Name:KLING, PAUL S (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:KLING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 07277
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-7277
Mailing Address - Country:US
Mailing Address - Phone:239-415-8686
Mailing Address - Fax:866-374-0165
Practice Address - Street 1:1950 COURTNEY DR
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9034
Practice Address - Country:US
Practice Address - Phone:239-415-8686
Practice Address - Fax:866-374-0165
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 005011103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical