MEDICARE: MISS MAXINE ANNE-MARIE SADHAI PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY 8331	FL

General Provider Information

NPI Number	:	1326154998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MAXINE ANNE-MARIE SADHAI PSY.D.

Provider Business Mailing Address
First Line	:	2813 EXECUTIVE PARK DR STE 105
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3603
Country	:	US
Telephone Number	:	954-439-5446
Fax Number	:	954-486-3949

Provider Business Practice Location Address
First Line	:	2813 EXECUTIVE PARK DR STE 105
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3603
Country	:	US
Telephone Number	:	954-439-5446
Fax Number	:	954-486-3949

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/03/2011

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