Provider Demographics
NPI:1245684091
Name:ANA SANTANA, PSY.D., P.A.
Entity type:Organization
Organization Name:ANA SANTANA, PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-499-0759
Mailing Address - Street 1:900 ALABAMA AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-7326
Mailing Address - Country:US
Mailing Address - Phone:954-895-0409
Mailing Address - Fax:
Practice Address - Street 1:292 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3308
Practice Address - Country:US
Practice Address - Phone:954-579-4096
Practice Address - Fax:833-375-3114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9518103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty