Individual
DR. JILL DEA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3949 EVANS AVE, SUITE 105, FORT MYERS, FL 33901-9335
(239) 789-5078
Mailing address
3949 EVANS AVE, SUITE 105, FORT MYERS, FL 33901-9335
(239) 789-5078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
115371-2501
UT
103TC0700X
Clinical Psychologist
PY7242
FL
Other
Enumeration date
12/04/2006
Last updated
12/06/2010
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