Organization
PEDIATRIC CONSULTATION SPECIALISTS, PLLC
Active
Organization
PEDIATRIC CONSULTATION SPECIALISTS, PLLC
Active
Other names
Psychology Consultation Specialists, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA KUPERMAN SONDELL PHD (LICENSED PSYCHOLOGIST/OWNER)
(763) 746-2707
Entity
Organization
Contact information
Practice address
3300 FERNBROOK LANE N, #120, PLYMOUTH, MN 55447
(763) 559-7050
(763) 559-7060
Mailing address
3300 FERNBROOK LANE N, #120, PLYMOUTH, MN 55447
(763) 559-7050
(763) 559-7060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP4585
MN
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/28/2008
Last updated
06/04/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up