Individual
ABIGALE JEAN BRADY SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6000 US98, PENSACOLA, FL 32512-1337
(850) 505-6749
Mailing address
6000 US 98, PENSACOLA, FL 32512-0001
(440) 813-0014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810008074
VA
Other
Enumeration date
08/06/2020
Last updated
11/17/2023
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