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NPI Code Detail

MEDICARE: DEANNA SANDQUIST

MEDICARE:   DEANNA  SANDQUIST
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
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1891937751
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA SANDQUIST
Provider Business Mailing Address
First Line : 35707 N 33RD LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-2289
Country : US
Telephone Number : 623-445-7800
Fax Number : 623-445-7880
Provider Business Practice Location Address
First Line : 35707 N 33RD LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-2289
Country : US
Telephone Number : 623-445-7800
Fax Number : 623-445-7880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2009
Last Update Date : 03/24/2009

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Directions to “ DEANNA SANDQUIST ” Practice Location

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