Provider Demographics
NPI:1669218632
Name:SANDRA T MANN PSYD PLLC
Entity type:Organization
Organization Name:SANDRA T MANN PSYD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-432-8128
Mailing Address - Street 1:4950 S YOSEMITE ST # F2-310
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1349
Mailing Address - Country:US
Mailing Address - Phone:720-432-8128
Mailing Address - Fax:
Practice Address - Street 1:4950 S YOSEMITE ST # F2-310
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1349
Practice Address - Country:US
Practice Address - Phone:720-432-8128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty