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General NPI Number Information
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NPI Number | 1780918755
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Entity Type | Organization
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Legal Business Name | LISA M. SANDLER, PSY.D, P.A.
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 6809 TOWN HARBOUR BLVD 1911
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City | BOCA RATON
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State | FL
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Zip | 33433-5062
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Country | US
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Telephone | 561-654-4645
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Fax |
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Provider Business Mailing Address
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Address Line | 6809 TOWN HARBOUR BLVD 1911
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City | BOCA RATON
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State | FL
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Zip | 33433-5062
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Country | US
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Telephone | 561-654-4645
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LISA MICHELLE SANDLER
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Credential | PSY.D
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Telephone | 561-654-4645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7407
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License Number State | FL
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