Whalio Doctors

NPI 1013451863

Sandra Sanderson, EDS

Practitioner School Psychologist Jackson, WY

Practice location

Address
140 E Broadway Ave # 13, Jackson, WY 83001
Phone
(307) 413-6528
Mailing address
PO Box 1527, Afton, WY 83110-1527

Registered specialties (2)

School Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence PTSB70891 (WY)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence PPC-953 (WY)

Registry record

NPI
1013451863
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Dec 2016
Record last updated
26 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.