Individual
JOSE A SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11401 SW 40TH ST, SUITE 321, MIAMI, FL 33165-3372
(305) 720-0237
Mailing address
11401 SW 40TH ST, SUITE# 321, MIAMI, FL 33165-3372
(305) 720-0237
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7539
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY7539
FL
103TC0700X
Clinical Psychologist
PY7539
FL
Other
Enumeration date
02/01/2008
Last updated
03/18/2011
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