Healthcare Provider Details

I. General information

NPI: 1265594089
Provider Name (Legal Business Name): SANDRA PYRAM LOYER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SANDRA PYRAM

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 WESTMORE RD APT 1
BOSTON MA
02126-1515
US

IV. Provider business mailing address

39 WESTMORE RD APT 1
BOSTON MA
02126-1515
US

V. Phone/Fax

Practice location:
  • Phone: 401-663-1994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00756
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: