MRS. RENAI L SPARROW


Address: 1028 Sw 126th St, Newberry, FL 32669-3054
Phone: 3523176513

MRS. RENAI L SPARROW (NPI# 1558668202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558668202
Entity Type Individual
Full Name MRS. RENAI L SPARROW
Practice Address 1028 Sw 126th St
Newberry
FL 32669-3054
Mailing Address 5745 Sw 75th St # 157
Gainesville
FL 32608-5504
Practice Telephone 3523176513
Practice Fax Number 3523331138
Enumeration Date 2011-02-15
Last Update Date 2011-02-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Office Location

Street Address 1028 SW 126TH ST
City NEWBERRY
State FL
Zip Code 32669-3054

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1144530171 Dana Smith Haase Speech-Language Pathologist 105 S.w. 140th Terrace, Jonesville, FL 32669 2010-10-08
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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Competitor

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City NEWBERRY
Zip Code 32669

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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