Individual
DR. SANDRA LYNN MINTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5234 SW PHILOMATH BLVD, CORVALLIS, OR 97333-1042
(541) 768-4970
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
2065
OR
Other
Enumeration date
04/16/2007
Last updated
11/11/2020
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