Provider Demographics
NPI:1326065277
Name:KLAYMAN, JILL SHARON (PHD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:SHARON
Last Name:KLAYMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31426 SHAKER CIR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6800
Mailing Address - Country:US
Mailing Address - Phone:414-507-7851
Mailing Address - Fax:813-903-4814
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:MENTAL HEALTH AND BEHAVIORAL SCIENCES
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-903-4814
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2004103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical