| John Thomas Sandy Psyd | |
|
111 Longwood Ave Sw Huntsville AL 35801 | |
| (256) 534-8161 | |
| Not Available |
| Full Name | John Thomas Sandy Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 111 Longwood Ave Sw, Huntsville, Alabama |
| Authorized Official Name and Position | John Thomas Sandy (PSYCHOLOGIST) |
| Authorized Official Contact | 2565348161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Thomas Sandy Psyd 2919 Thompson Circle Se Huntsville AL 35801 Ph: (256) 656-1103 | John Thomas Sandy Psyd 111 Longwood Ave Sw Huntsville AL 35801 Ph: (256) 534-8161 |
| NPI Number | 1538479787 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 8022299429 |
|---|---|
| Medicare Enrollment ID | O20110217000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538479787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 974 (Alabama) | Primary |
| Provider Name | John Thomas Sandy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336174192 PECOS PAC ID: 3476734872 Enrollment ID: I20110524000163 |
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