JOHN T SUPER

BRADENTON, FL
NPI1487683017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: FL  PY4440)
Enumeration Date2006-07-03
Last Update Date2013-02-07
Business Address
Dr. JOHN T SUPER Ph.D.
9906 E STATE ROAD 64
BRADENTON, FL 34212-5303
Phone number: 941-708-5306
Mailing Address
Dr. JOHN T SUPER Ph.D.
9906 E STATE ROAD 64
BRADENTON, FL 34212-5303
Phone number: 941-708-5306
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