Birdlebough, Sandra L

Birdlebough, Sandra L is an sole proprietor health care provider with primary practice located at 250 Loomis Rd , Prosser WA 99350-8822. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Birdlebough, Sandra L can be contacted via phone (509) 788-0750.

Contact Information

Primary practice address
250 Loomis Rd Prosser WA 99350-8822
Phone: (509) 788-0750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00002504 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30005617 Washington

Profile Details

NPI number 1578644852
LBN Legal business name Birdlebough, Sandra L
Credentials PHD, ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 31st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578644852 NPPES
Washington MEDICAID 9635871
Washington Other 0195091

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