Ivan L Mazzorana Jr Md Pa is a Psychology Clinic in Ft Myers, Florida. It is located at 12590 Whitehall Dr, Suite 3, Ft Myers, FL and its contact number is 239-939-9090. The authorized person for Ivan L Mazzorana Jr Md Pa is Ivan L Mazzorana Jr.
who is President of the clinic and his/her contact number is 239-939-9090.
Ivan L Mazzorana Jr Md Pa Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat 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 by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Ivan L Mazzorana Jr Md Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ivan L Mazzorana Jr Md Pa |
| Specialization: | General Psychology |
| Clinic Address: | 12590 Whitehall Dr, Suite 3, Ft Myers,
Florida, 33907-3620 |
| Phone: | 239-939-9090 |
| Fax: | 239-939-2922 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ivan L Mazzorana Jr. |
| Position: | President |
| Contact Number: | 239-939-9090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ivan L Mazzorana Jr Md Pa clinic are as mentioned below.
| NPI Number: | 1790877488 |
| NPI Enumeration Date: | 29 Sep, 2006 |
| NPI Last Update On: | 15 Nov, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivan L Mazzorana Jr Md Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | | Primary | |
| Psychologist | | | Secondary | |
| Psych/Mental Health | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3189574 | Other | | Ghi |
| 990014183 | Other | | Medicare R.r. |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ivan L Mazzorana Jr Md Pa
12590 Whitehall Dr, Suite 3
Ft Myers, Florida |
| Zip: | 33907-3620 |
| Phone Number: | 239-939-9090 |
| Fax Number: | 239-939-2922 |
Patients can reach Ivan L Mazzorana Jr Md Pa at
12590 Whitehall Dr, Suite 3, Ft Myers, Florida or can
call to book an appointment on 239-939-9090.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.