Sanderson, Sandra

Sanderson, Sandra is an individual health care provider with primary practice located at 140 E Broadway Ave # 13 , Jackson WY 83001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Sanderson, Sandra can be contacted via phone (307) 413-6528.

Contact Information

Primary practice address
140 E Broadway Ave # 13 Jackson WY 83001
Phone: (307) 413-6528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PPC-953 Wyoming
Behavioral Health & Social Service Providers / School 103TS0200X PTSB70891 Wyoming

Profile Details

NPI number 1013451863
LBN Legal business name Sanderson, Sandra
Credentials ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Dec 26th, 2019 - about 6 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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