Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PY0777 | NV |
N | 103TC0700X | Clinical Psychologist | PY0777 | NV |
Y | 103TH0004X | Health Psychologist | PY0777 | NV |
NPI | 1669904876 |
---|---|
Provider Name | Rachael Sand |
First Address | Nellis Afb, NV 89191-6600 |
Second Address | Nellis Afb, NV 89191-6600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 31/08/2021 |