Individual
DR. SANDRA THEBAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
50 SOUTH STEELE ST, SUITE 435, DENVER, CO 80206
(720) 378-8080
Mailing address
PO BOX 5754, DENVER, CO 80217
(720) 378-8080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3300
CO
103TH0004X
Health Psychologist
Primary
3300
CO
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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