Individual
DR. KATHLEEN A. SANDAL-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19755 E PIKES PEAK CT, SUITE 202, PARKER, CO 80138-7414
(303) 841-0529
(720) 851-3075
Mailing address
PO BOX 1057, PARKER, CO 80134-1057
(303) 841-0529
(720) 851-3075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1651
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COAAA4958
MEDICARE PTAN
CO
Enumeration date
07/23/2008
Last updated
08/21/2020
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