Individual
DR. JENNIFER S. SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12955 BISCAYNE BLVD, SUITE 203, NORTH MIAMI, FL 33181-2037
(954) 465-1633
Mailing address
9495 EVERGREEN PL, APT. 301, DAVIE, FL 33324-4353
(954) 294-7428
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8878
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY8878
FL
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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