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General NPI Number Information
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NPI Number | 1417743022
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Entity Type | Organization
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Legal Business Name | SANDLER PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 190 S ORCHARD AVE STE C-120B
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City | VACAVILLE
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State | CA
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Zip | 95688-3647
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Country | US
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Telephone | 510-423-3055
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Fax |
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Provider Business Mailing Address
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Address Line | 548 MARKET ST PMB 360348
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City | SAN FRANCISCO
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State | CA
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Zip | 94104
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Country | US
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Telephone | 619-972-2402
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENJAMIN ISAAC SANDLER
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Credential | PSY.D.
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Telephone | 510-423-3055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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