Super, John T

Super, John T is an sole proprietor health care provider with primary practice located at 9906 E State Road 64 , Bradenton FL 34212-5303. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Super, John T can be contacted via phone (941) 708-5306.

Contact Information

Primary practice address
9906 E State Road 64 Bradenton FL 34212-5303
Phone: (941) 708-5306
Fax: (941) 708-5357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY4440 Florida

Profile Details

NPI number 1487683017
LBN Legal business name Super, John T
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Feb 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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