Doctor Name: | DR. CHRISTINA MARY SANNER |
NPI Number: | 1033373931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 454 |
Business Practice Address: | 835 S Burlington Ave Hastings, NE - 689016960 |
Business Phone Number: | 3184512137 |
Business Fax Number: | |
Mailing Address: | 1614 W Division St, GRAND ISLAND |
State: | NE |
Postal Code: | 688015746 |
Phone Number: | 3184512137 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 04/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |