Sandra L Branton in South Lake Tahoe - Psychologist
Sandra L Branton - NPI 1063524312
Sandra L Branton is a Psychologist in South Lake Tahoe, California. Sandra L Branton practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sandra L Branton is 1063524312. The last update date is 2009-09-18.
Sandra L Branton's current location address is Po Box 550547, South Lake Tahoe, California. You can contact this provider via phone number 5305415977 and fax number 5305774686. The mailing address for Sandra L Branton is Po Box 550547, South Lake Tahoe, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra L Branton |
|---|---|
| Address | Po Box 550547, South Lake Tahoe, California |
| Phone Number | 5305415977 |
| Fax Number | 5305774686 |
| Sole Proprietor | Y |
| Credentials | EDD |
NPI Number Detail
| NPI Number | 1063524312 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2009-09-18 |
Provider Mailing Address Detail
| Address | Po Box 550547 |
|---|---|
| City | South Lake Tahoe |
| State | California (CA) |
| Post Code | 961550010 |
| Phone Number | 5305415977 |
| Fax Number | 5305774686 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY11992 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Sandra L Branton by the Centers for Medicare & Medicaid Services?
The Sandra L Branton has been issued the NPI (National Provider Identifier) 1063524312, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Sandra L Branton is located?
The Sandra L Branton is situated at the following address: Po Box 550547, South Lake Tahoe, CA, 961550010.
What is the Sandra L Branton's specialty and taxonomy code?
The Sandra L Branton's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Sandra L Branton receive the assignment of its 1063524312 from the Centers for Medicare & Medicaid Services?
The Sandra L Branton was issued its 1063524312 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information pertaining to Sandra L Branton most recently updated or revised?
The details related to Sandra L Branton, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-18.
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