Individual
SANDRA M. DANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7650 S MCCLINTOCK DR, SUITE 103-174, TEMPE, AZ 85284-1695
(480) 452-4797
(480) 718-7859
Mailing address
7650 S MCCLINTOCK DR, SUITE 103-174, TEMPE, AZ 85284-1695
(480) 452-4797
(480) 264-2763
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3828
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128424
—
AZ
Enumeration date
08/11/2006
Last updated
01/20/2022
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