MEDICARE: SANDY ANDREWS 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	24584	TX
2	103TC0700X	Clinical Psychologist	24584	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760575773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDY ANDREWS PH.D.

Provider Business Mailing Address
First Line	:	1823 FORTVIEW RD STE 106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7663
Country	:	US
Telephone Number	:	512-444-6110
Fax Number	:	512-444-6124

Provider Business Practice Location Address
First Line	:	1823 FORTVIEW RD STE 106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7663
Country	:	US
Telephone Number	:	512-444-6110
Fax Number	:	512-444-6124

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/22/2009

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Directions to “ SANDY ANDREWS PH.D.” Practice Location

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