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Contact Information

JILL D SANDERS, PHD
3949 EVANS AVE
SUITE 105
FORT MYERS, FL33901-9335
 Phone: 239-789-5078
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JILL D SANDERS · (Female)

NPI Number 1013075258
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/04/2006
Last updated 12/06/2010 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY7242
  • UT License # 115371-2501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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