Individual provider · Type 1 NPI
John T. Super, PhD
Psychologist · Bradenton, FL
Practice location
9906 E State Road 64
Bradenton, FL 34212-5303
Fax (941) 708-5357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PY4440 (FL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1487683017
John T. Super, PhD's National Provider Identifier is 1487683017, issued on Jul 3, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Bradenton, FL. The record was last updated on Feb 7, 2013.