Provider Demographics
NPI:1518322882
Name:FRAWLEY, SANDIE MAE (DR)
Entity Type:Individual
Prefix:MRS
First Name:SANDIE
Middle Name:MAE
Last Name:FRAWLEY
Suffix:
Gender:F
Credentials:DR
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:M
Other - Last Name:FRAWLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DR/EDD
Mailing Address - Street 1:1742 EQUESTRIAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588
Mailing Address - Country:US
Mailing Address - Phone:925-846-2413
Mailing Address - Fax:925-462-3164
Practice Address - Street 1:1742 EQUESTRIAN DRIVE
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588
Practice Address - Country:US
Practice Address - Phone:925-846-2413
Practice Address - Fax:925-462-3164
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALEP1039103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist