Individual
MICHAEL DAVID SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
NAVAL MEDICAL CENTER, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2854
(458) 642-9562
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007411
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/05/2021
Last updated
01/08/2022
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