MEDICARE: DR. SANDRA ISABEL VIGGIANI PHD

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	103TC0700X	Clinical Psychologist	1387	LA
2	103TC0700X	Clinical Psychologist	30290	CA

General Provider Information

NPI Number	:	1467768788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA ISABEL VIGGIANI PHD

Provider Business Mailing Address
First Line	:	1 LAKESHORE DR STE 1695
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70629-0124
Country	:	US
Telephone Number	:	337-564-6405
Fax Number	:	337-656-2563

Provider Business Practice Location Address
First Line	:	1 LAKESHORE DR STE 1695
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70629-0124
Country	:	US
Telephone Number	:	337-564-6405
Fax Number	:	337-656-2563

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

Provider Enumeration Date	:	08/24/2010
Last Update Date	:	03/01/2019

Similar Medicare Providers

1821254228 — ST PAUL COMPANION CARE LLC
Practice Location Address:

1 LAKESHORE DR STE 1695
LAKE CHARLES, LA
70629-0124

Practice Phone: 337-433-0100
Practice Fax: 337-433-1940

1669521027 — JUDISCH VISION PC
Practice Location Address:

1341 W MAIN ST
LAKE CITY, IA
51449-0124

Practice Phone: 712-464-3136
Practice Fax: 712-464-7683

1285784280 — JONATHAN PAUL JUDISCH OD
Practice Location Address:

1341 W MAIN ST
LAKE CITY, IA
51449-0124

Practice Phone: 712-464-3136
Practice Fax: 712-464-7683

1982808663 — MRS. SANDRA PATRICIA KAHLON OTR
Practice Location Address:

8 FIRST ST
ROUND LAKE, NY
12151-0124

Practice Phone: 518-495-1695
Practice Fax:

1588661508 — DR. KASHINATH GANGADHARA YADALAM MD
Practice Location Address:

1 LAKESHORE DR , SUITE 1695
LAKE CHARLES, LA
70629-0100

Practice Phone: 337-564-6405
Practice Fax: 337-656-2563

1689871121 — ST. PAUL COMPANION CARE, L.L.C.
Practice Location Address:

1 LAKESHORE DR STE 1695
LAKE CHARLES, LA
70629-0114

Practice Phone: 337-433-1403
Practice Fax: 337-433-5311

Directions to “ DR. SANDRA ISABEL VIGGIANI PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.