Back Door, LLC

Organization Prescribing (Medical) Psychologist · NPI 1982836391

Back Door, LLC provides Prescribing (Medical) Psychologist services in Cape Coral, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in: FL
In the registry since: 2009
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1639 Cape Coral Pkwy E Ste 211
Cape Coral, FL 33904-9657 Not confirmed with CMS for 16 years — call before visiting
Phone: (239) 745-5917
Fax: (866) 676-2762

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence SW8039 (FL)
Prescribing (Medical) Psychologist	Taxonomy 103TP0016X · Licence ME100060 (FL)

Record details

NPI number	1982836391
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Cheryl Buss — Managing Member · (239) 745-5917
NPI enumerated	August 18, 2009
Last updated in NPPES	November 17, 2009
Mailing address	1639 Cape Coral Pkwy E Ste 211, Cape Coral, FL 33904-9657