| Doctor Name: | DR. BEVLYN SAGON |
| NPI Number: | 1003068925 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY7653 |
| Business Practice Address: | 1700 N. Dixie Hwy Suite 150 Boca Raton, FL - 33432 |
| Business Phone Number: | 5614471167 |
| Business Fax Number: | 5614471164 |
| Mailing Address: | 1700 N. Dixie Hwy, Suite 150 BOCA RATON |
| State: | FL |
| Postal Code: | 33432 |
| Phone Number: | 5614471167 |
| Fax Number: | 5614471164 |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7653 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |