John T Super is a Psychologist in Bradenton, Florida. John T Super practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John T Super is 1487683017. The last update date is 2013-02-07.
John T Super's current location address is 9906 E State Road 64, Bradenton, Florida. You can contact this provider via phone number 9417085306 and fax number 9417085357. The mailing address for John T Super is 9906 E State Road 64, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John T Super |
|---|---|
| Address | 9906 E State Road 64, Bradenton, Florida |
| Phone Number | 9417085306 |
| Fax Number | 9417085357 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487683017 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 9906 E State Road 64 |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342125303 |
| Phone Number | 9417085306 |
| Fax Number | 9417085357 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY4440 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique identifier code issued to John T Super by the Centers for Medicare & Medicaid Services (CMS)?
The John T Super has been assigned the NPI (National Provider Identifier) 1487683017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of John T Super?
The John T Super is physically situated at 9906 E State Road 64, in the city of Bradenton, state of FL, with the postal code 342125303.
What is John T Super's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John T Super is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487683017 to John T Super?
The Centers for Medicare & Medicaid Services originally issued the 1487683017 to John T Super on 2006-07-03.
When was the John T Super's information last updated?
The John T Super's information was last updated on 2013-02-07.