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NPI Code Detail

MEDICARE: DR. ALAN LEWIS SAUNDERS PH.D.

MEDICARE: DR. ALAN LEWIS SAUNDERS PH.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
1103TC0700XClinical PsychologistPY0002569FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1673OTHERFLPSYCHOLOGIST

General Provider Information

NPI Number : 1154398386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN LEWIS SAUNDERS PH.D.
Provider Business Mailing Address
First Line : 13000 BRUCE B.DOWNS BLVD
Second Line : MENTAL HEALTH CLINIC
City : TAMPA
State : FL
Zip : 33612-4749
Country : US
Telephone Number : 813-631-7123
Fax Number : 813-631-7128
Provider Business Practice Location Address
First Line : 11707 CLUB DR
Second Line : MENTAL HEALTH CLINIC
City : TAMPA
State : FL
Zip : 33612-5521
Country : US
Telephone Number : 813-631-7123
Fax Number : 813-631-7128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 07/08/2007

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