Provider Demographics
NPI:1508277823
Name:MAXINE A. SADHAI, PSY.D. & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:MAXINE A. SADHAI, PSY.D. & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SADHAI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-439-5446
Mailing Address - Street 1:2813 EXECUTIVE PARK DR
Mailing Address - Street 2:STE#105
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3603
Mailing Address - Country:US
Mailing Address - Phone:954-439-5446
Mailing Address - Fax:
Practice Address - Street 1:2813 EXECUTIVE PARK DR
Practice Address - Street 2:STE#105
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3603
Practice Address - Country:US
Practice Address - Phone:954-439-5446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8331103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty