Provider Demographics
NPI:1720037591
Name:STEWART-SABIN, CANDICE KAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:KAY
Last Name:STEWART-SABIN
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:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-0627
Mailing Address - Country:US
Mailing Address - Phone:727-791-8040
Mailing Address - Fax:727-791-8045
Practice Address - Street 1:132 10TH AVE N
Practice Address - Street 2:SUITE 103
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3407
Practice Address - Country:US
Practice Address - Phone:727-791-8040
Practice Address - Fax:727-791-8045
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7296103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical