Individual
SANDRA J NANTZ
Active
Individual
SANDRA J NANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
262165
KY
103TC0700X
Clinical Psychologist
Primary
262165
KY
103TC1900X
Counseling Psychologist
262165
KY
103TC2200X
Clinical Child & Adolescent Psychologist
262165
KY
103TF0000X
Family Psychologist
262165
KY
103TP2701X
Group Psychotherapy Psychologist
262165
KY
Other
Enumeration date
05/31/2016
Last updated
04/01/2022
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