John T. Super, PH.D.

Psychologist · Bradenton, FL

Individual Active NPI

NPI number 1487683017

Practice location

9906 E State Road 64
Bradenton, FL 34212-5303
Phone
(941) 708-5306
Fax
(941) 708-5357

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NPI record

NPI
1487683017
Entity type
Individual (Type 1)
Enumeration date
July 3, 2006
Last updated
February 7, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PY4440 FL

About Dr. Super

John T. Super, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 9906 E State Road 64, Bradenton, FL 34212-5303. The NPI number 1487683017 was assigned on July 3, 2006 and the record was last updated on February 7, 2013.

Dr. Super lists a license in the registry: #PY4440 (FL) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John T. Super, PH.D.?

The NPI number is 1487683017.

What is the phone number of Dr. Super?

The phone number listed for the practice location is (941) 708-5306.

Where is Dr. Super located?

9906 E State Road 64, Bradenton, FL 34212-5303.

What is the taxonomy code for Dr. Super?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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