Goncalves, Sandra Santa Barbara

Goncalves, Sandra Santa Barbara is an individual health care provider with primary practice located at 102 Heritage Way Ne Suite 302, Leesburg VA 20176-4544. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Goncalves, Sandra Santa Barbara can be contacted via phone (703) 771-5100.

Contact Information

Primary practice address
102 Heritage Way Ne Suite 302 Leesburg VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004521 Virginia

Profile Details

NPI number 1194910927
LBN Legal business name Goncalves, Sandra Santa Barbara
Credentials PSY.D, LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2007
Last updated Jan 11th, 2012 - about 12 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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