Ms Sandra Lee Mattson Ebeltoft, EDS is a
Psychologist - School based in Mayer, Arizona. Ms Sandra Lee Mattson Ebeltoft is licensed to practice in * (Not Available) (license number ) and her current practice location is
12606 E. Main St., Mayer, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 642-1010.
NPI number for Ms Sandra Lee Mattson Ebeltoft is 1558589234 and her current mailing address is 1950 Lazy Meadow Ln, Prescott, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558589234.
Healthcare Provider's Profile
| Full Name | Ms Sandra Lee Mattson Ebeltoft |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 12606 E. Main St., Mayer, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558589234
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Sandra Lee Mattson Ebeltoft such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558589234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | 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. Ms Sandra Lee Mattson Ebeltoft 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 |
|---|
Ms Sandra Lee Mattson Ebeltoft, EDS
1950 Lazy Meadow Ln,
Prescott, AZ 86303-5044
Ph: (928) 445-0121 | Ms Sandra Lee Mattson Ebeltoft, EDS
12606 E. Main St.,
Mayer, AZ 86333
Ph: (928) 642-1010 |
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