Individual
DR. SANDRA LANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
28175 HAGGERTY RD STE 129, NOVI, MI 48377-2903
(248) 380-0867
(248) 380-1776
Mailing address
28175 HAGGERTY RD STE 129, NOVI, MI 48377-2903
(248) 380-0867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0-F3-3691-0
BCBS PROVIDER NUMBER
MI
Enumeration date
04/03/2007
Last updated
07/21/2022
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