Individual
DR. KRISTEN SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-4683
(314) 251-4380
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-4683
(314) 251-4380
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY01911
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477622553
—
MO
05
—
499328102
—
MO
01
—
P00859253
RAILROAD MEDICARE
MO
Enumeration date
11/06/2006
Last updated
03/31/2015
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