Healthcare Provider Details

I. General information

NPI: 1902997216
Provider Name (Legal Business Name): ANITA RAM SAHGAL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N HIATUS RD #213
PEMBROKE PINES FL
33026-5206
US

IV. Provider business mailing address

9155 PERSHORE PLACE
TAMARAC FL
33321-4176
US

V. Phone/Fax

Practice location:
  • Phone: 954-431-0411
  • Fax: 954-431-0413
Mailing address:
  • Phone: 321-591-6538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY7382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: