MEDICARE: MS. SANDRA S VOLGY PH.D.

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	103T00000X	Psychologist	PHD #466	AZ

General Provider Information

NPI Number	:	1194809582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA S VOLGY PH.D.

Provider Business Mailing Address
First Line	:	6885 N ORACLE RD
Second Line	:	STE C
City	:	TUCSON
State	:	AZ
Zip	:	85704-4222
Country	:	US
Telephone Number	:	520-888-3998
Fax Number	:	520-877-3338

Provider Business Practice Location Address
First Line	:	6885 N ORACLE RD
Second Line	:	STE C
City	:	TUCSON
State	:	AZ
Zip	:	85704-4222
Country	:	US
Telephone Number	:	520-888-3998
Fax Number	:	520-332-1504

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	04/28/2017

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