| Sandra J. Mccoy, Ph.d., P.a. | |
|
400 Osage St Manhattan KS 66502-5930 | |
| (785) 539-9600 | |
| (785) 537-6280 |
| Full Name | Sandra J. Mccoy, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 400 Osage St, Manhattan, Kansas |
| Authorized Official Name and Position | Sandra J. Mccoy (PRESIDENT/SECRETARY) |
| Authorized Official Contact | 7855399600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra J. Mccoy, Ph.d., P.a. 400 Osage St Manhattan KS 66502-5930 Ph: (785) 539-9600 | Sandra J. Mccoy, Ph.d., P.a. 400 Osage St Manhattan KS 66502-5930 Ph: (785) 539-9600 |
| NPI Number | 1578529095 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 3173517448 |
|---|---|
| Medicare Enrollment ID | O20040409000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578529095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0900 (Kansas) | Primary |
| Provider Name | Sandrajean M Kramos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023103520 PECOS PAC ID: 4183618465 Enrollment ID: I20040412001185 |
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