Provider Demographics
NPI:1891227047
Name:SAIBLE NEUROPSYCHOLOGY LLC
Entity Type:Organization
Organization Name:SAIBLE NEUROPSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIVANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIBLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:727-565-2424
Mailing Address - Street 1:360 CENTRAL AVE STE 1230
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3865
Mailing Address - Country:US
Mailing Address - Phone:727-565-2424
Mailing Address - Fax:727-440-8148
Practice Address - Street 1:360 CENTRAL AVE STE 1230
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3865
Practice Address - Country:US
Practice Address - Phone:727-565-2424
Practice Address - Fax:727-440-8148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9184103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty