Individual
DEBORAH SANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12011 SAN VICENTE BLVD STE 250, LOS ANGELES, CA 90049-4964
(310) 472-7907
Mailing address
12011 SAN VICENTE BLVD STE 250, LOS ANGELES, CA 90049-4964
(310) 472-7907
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
PSY17956
CA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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