Provider Demographics
NPI:1508101049
Name:SANDT, ARTHUR RALPH IV (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:RALPH
Last Name:SANDT
Suffix:IV
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9448 BIRDHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3174
Mailing Address - Country:US
Mailing Address - Phone:313-773-1095
Mailing Address - Fax:
Practice Address - Street 1:9448 BIRDHOUSE CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3174
Practice Address - Country:US
Practice Address - Phone:313-773-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist