Provider Demographics
NPI:1790901403
Name:SANDOR, M. KAY (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:M. KAY
Middle Name:
Last Name:SANDOR
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 21ST ST STE 243
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-1678
Mailing Address - Country:US
Mailing Address - Phone:409-765-6093
Mailing Address - Fax:
Practice Address - Street 1:305 21ST ST STE 243
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-1678
Practice Address - Country:US
Practice Address - Phone:409-765-6093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health