Provider Demographics
NPI:1790840346
Name:NOHRE, SANDRA LEA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LEA
Last Name:NOHRE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5871 CEDAR LAKE ROAD
Mailing Address - Street 2:100 SUNSET RIDGE BUSINESS PARK
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1481
Mailing Address - Country:US
Mailing Address - Phone:952-944-1585
Mailing Address - Fax:952-918-0328
Practice Address - Street 1:5871 CEDAR LAKE ROAD
Practice Address - Street 2:100 SUNSET RIDGE BUSINESS PARK
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-1481
Practice Address - Country:US
Practice Address - Phone:952-944-1585
Practice Address - Fax:952-918-0328
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2886103T00000X
MN483106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist