Provider Demographics
NPI:1972697399
Name:SIMS, SANDRA J (PSYD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:J
Last Name:SIMS
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 1:18237 W 3RD AVENUE
Mailing Address - Street 2:2
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:303-475-4382
Mailing Address - Fax:
Practice Address - Street 1:445 UNION BOULEVARD
Practice Address - Street 2:203
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228
Practice Address - Country:US
Practice Address - Phone:303-475-4382
Practice Address - Fax:720-974-0444
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2521103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist