Individual
DR. DIANE G SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
425 N NEW BALLAS RD, SUITE 195, SAINT LOUIS, MO 63141-6814
(314) 991-5666
(314) 991-0666
Mailing address
425 N NEW BALLAS RD, SUITE 195, SAINT LOUIS, MO 63141-6814
(314) 991-5666
(314) 991-0666
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
PY01223
MO
Other
Enumeration date
05/04/2007
Last updated
11/23/2011
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