Individual
DR. SANDRA LEE BURNS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438-6793
(570) 226-1963
(570) 226-1967
Mailing address
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438-6793
(570) 226-1963
(570) 226-1967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
355I100268700
NJ
103T00000X
Psychologist
Primary
PSO15177
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012087690001
—
PA
Enumeration date
09/09/2005
Last updated
07/08/2007
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