MEDICARE: DR. JULIE SANCHEZ PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	225400000X	Rehabilitation Practitioner
3	390200000X	Student in an Organized Health Care Education/Training Program
4	103TC0700X	Clinical Psychologist	31013	CA

General Provider Information

NPI Number	:	1013165836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE SANCHEZ PSY.D

Provider Business Mailing Address
First Line	:	1307 W 6TH ST STE 212C
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-1642
Country	:	US
Telephone Number	:	888-662-9378
Fax Number	:

Provider Business Practice Location Address
First Line	:	1307 W 6TH ST STE 212C
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-1642
Country	:	US
Telephone Number	:	888-662-9378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	08/22/2022

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