Jensen, Sandra

Jensen, Sandra is an individual health care provider with primary practice located at 5820 Main St Ste 505A , Williamsville NY 14221-5734. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jensen, Sandra can be contacted via phone (716) 632-4942.

Contact Information

Primary practice address
5820 Main St Ste 505A Williamsville NY 14221-5734
Phone: (716) 632-4942
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015674-1 New York

Profile Details

NPI number 1417174780
LBN Legal business name Jensen, Sandra
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1417174780 NPPES
New York MEDICAID 02564170

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