MEDICARE: SANDRA EISEMANN PHD

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	3355	CO

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	:	1992789218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA EISEMANN PHD

Provider Business Mailing Address
First Line	:	2530 COLORADO AVE UNIT 2A
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-4761
Country	:	US
Telephone Number	:	970-403-4223
Fax Number	:	970-259-2419

Provider Business Practice Location Address
First Line	:	2530 COLORADO AVE UNIT 2A
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-4761
Country	:	US
Telephone Number	:	970-403-4223
Fax Number	:	970-259-2419

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	07/26/2010

Similar Medicare Providers

1134008337 — SILVER MOUNTAIN PEDIATRICS, INC.
Practice Location Address:

2530 COLORADO AVE UNIT 2A
DURANGO, CO
81301-4761

Practice Phone: 970-512-5255
Practice Fax: 970-615-4981

1235594169 — LORIELLE M JACK
Practice Location Address:

2530 COLORADO AVE UNIT 1A
DURANGO, CO
81301-4761

Practice Phone: 970-335-2442
Practice Fax:

1376907493 — SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
Practice Location Address:

2530 COLORADO AVE UNIT 1A
DURANGO, CO
81301-4761

Practice Phone: 970-335-2442
Practice Fax: 970-335-2402

1104325935 — MEGAN MCCARTNEY MSW
Practice Location Address:

2530 COLORADO AVE UNIT 2A
DURANGO, CO
81301-4761

Practice Phone: 847-445-2777
Practice Fax:

1033731799 — LINDSAY STONECASH-BAUER LCSW
Practice Location Address:

2530 COLORADO AVE UNIT 2A
DURANGO, CO
81301-4761

Practice Phone: 970-946-8002
Practice Fax:

1316212566 — APRIL CHRISTINA PHILLIPS DNP, FNP-C, PMHNP-BC
Practice Location Address:

1309 E 3RD AVE STE B-5
DURANGO, CO
81301-5255

Practice Phone: 970-527-1660
Practice Fax:

Directions to “ SANDRA EISEMANN PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.