Provider Demographics
NPI:1982816088
Name:WEBSTER, SANDRA LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LEE
Last Name:WEBSTER
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 1:647 PARK MEADOW RD STE L
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2878
Mailing Address - Country:US
Mailing Address - Phone:440-227-5953
Mailing Address - Fax:614-754-6439
Practice Address - Street 1:647 PARK MEADOW RD STE L
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:440-227-5953
Practice Address - Fax:614-754-6439
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist