Individual
SANDRA AHUMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
360 SHERMAN ST STE 200, SAINT PAUL, MN 55102
(651) 220-6720
Mailing address
360 SHERMAN ST STE 200, SAINT PAUL, MN 55102-2567
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/27/2018
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