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Contact Information

KELLEY C SANDERS, PH.D., CAP
2023 TATUM AVENUE
BUILDGING H, ROOM #110A
JACKSONVILLE, FL32214
 Phone: 904-546-6302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KELLEY C SANDERS · (Female)

NPI # 1366788606
Status Active
Credentials PH.D., CAP
Entity Individual
Enumeration date 12/13/2012
Last updated 02/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # CAP2880
  • FL License # PY8870
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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