Provider Demographics
NPI:1891989570
Name:ANDRADE, SANDRA GEORGETTE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:GEORGETTE
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HAMPSHIRE RD SUITE 118
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361
Mailing Address - Country:US
Mailing Address - Phone:805-233-2584
Mailing Address - Fax:805-497-0500
Practice Address - Street 1:650 HAMPSHIRE RD SUITE 118
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361
Practice Address - Country:US
Practice Address - Phone:805-233-2584
Practice Address - Fax:805-497-0500
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health