Individual
KAREN C SANDBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1650 PRUDENTIAL DR STE 210, JACKSONVILLE, FL 32207-8149
(904) 376-3800
(904) 396-4942
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 391-5394
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 8871
FL
103T00000X
Psychologist
0810004652
VA
103T00000X
Psychologist
1224
NM
103TC0700X
Clinical Psychologist
PY8871
FL
Other
Enumeration date
08/18/2009
Last updated
11/05/2024
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