Sandra Sanderson, EDS is a
Psychologist - School based in Jackson, Wyoming. Sandra Sanderson is licensed to practice in Wyoming (license number PTSB70891) and her current practice location is
140 E Broadway Ave # 13, Jackson, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 413-6528.
NPI number for Sandra Sanderson is 1013451863 and her current mailing address is Po Box 1527, Afton, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013451863.
Healthcare Provider's Profile
Full Name | Sandra Sanderson |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 140 E Broadway Ave # 13, Jackson, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013451863
- Provider Enumeration Date: 12/13/2016
- Last Update Date: 12/26/2019
Medical Identifiers
Medical identifiers for Sandra Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013451863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PPC-953 (Wyoming) | Secondary |
103TS0200X | Psychologist - School | PTSB70891 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Sanderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra Sanderson, EDS Po Box 1527, Afton, WY 83110-1527 Ph: (307) 413-4276 | Sandra Sanderson, EDS 140 E Broadway Ave # 13, Jackson, WY 83001 Ph: (307) 413-6528 |
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