Individual
MS. LAURIANN SANDRIK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
653 W 8TH ST, UFJP PEDIATRIC INFECTIOUS DISEASES, JACKSONVILLE, FL 32209-6511
(904) 244-5529
(904) 244-2896
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY5820
FL
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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