Provider Demographics
NPI:1659134039
Name:SANDRA SCHATZ, PHD, LLC
Entity Type:Organization
Organization Name:SANDRA SCHATZ, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHATZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:316-249-4678
Mailing Address - Street 1:7060 S 88TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-6104
Mailing Address - Country:US
Mailing Address - Phone:316-249-4678
Mailing Address - Fax:
Practice Address - Street 1:7060 S 88TH ST APT 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-6104
Practice Address - Country:US
Practice Address - Phone:316-249-4678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty