DR. John T Super, PH.D.

NPI #1487683017 in Bradenton, Florida

Provider Information

NPI Number: 1487683017
Entity Type: Individual
Name: DR. John T Super, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jul 3, 2006
Last Updated: Feb 7, 2013

Practice Location

Address: 9906 E STATE ROAD 64
City: Bradenton
State: Florida
ZIP Code: 34212-5303
Phone: (941) 708-5306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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