Dr. Jill Dea Sanders
Clinical Psychologist
3949 Evans Ave Suite 105
Fort Myers
, Florida 33901-9335
Dr. Jill Dea Sanders
Clinical Psychologist
3949 Evans Ave Suite 105
Fort Myers
, Florida 33901-9335
(239) 789-5078
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jill Dea Sanders
- 3949 Evans Ave Suite 105
- Fort Myers, FL
- Zip : 33901-9335
- Phone : (239) 789-5078
Second Address
- Dr. Jill Dea Sanders
- 3949 Evans Ave Suite 105
- Fort Myers, FL
- Zip : 33901-9335
- Phone : (239) 789-5078
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 115371-2501 | UT |
| Y | 103TC0700X | Clinical Psychologist | 115371-2501 | UT |
| N | 103G00000X | Clinical Psychologist | PY7242 | FL |
| N | 103TC0700X | Clinical Psychologist | PY7242 | FL |
National Provider Identifier
| NPI | 1013075258 |
|---|---|
| Provider Name | Dr. Jill Dea Sanders |
| First Address | Fort Myers, FL 33901-9335 |
| Second Address | Fort Myers, FL 33901-9335 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 06/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.