Healthcare Provider Details

I. General information

NPI: 1508059122
Provider Name (Legal Business Name): SANDRA MARIE NESHEIM PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 SALINAS ST
SALINAS CA
93901-2717
US

IV. Provider business mailing address

433 SALINAS ST
SALINAS CA
93901-2717
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-7915
  • Fax: 831-757-0762
Mailing address:
  • Phone: 831-757-7915
  • Fax: 831-757-0762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY 18584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: