| Doctor Name: | DR. JILL DEA SANDERS |
| NPI Number: | 1013075258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY7242 |
| Business Practice Address: | 3949 Evans Ave Suite 105 Fort Myers, FL - 339019335 |
| Business Phone Number: | 2397895078 |
| Business Fax Number: | |
| Mailing Address: | 3949 Evans Ave, Suite 105 FORT MYERS |
| State: | FL |
| Postal Code: | 339019335 |
| Phone Number: | 2397895078 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 12/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7242 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |