Provider Demographics
NPI:1851433072
Name:NEDD, SANDY D (MS)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:D
Last Name:NEDD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9304 ROLLING RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-4931
Mailing Address - Country:US
Mailing Address - Phone:813-453-1553
Mailing Address - Fax:813-985-2803
Practice Address - Street 1:9304 ROLLING RIDGE PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-4931
Practice Address - Country:US
Practice Address - Phone:813-453-1553
Practice Address - Fax:813-985-2803
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health