Doctor Name: | DR. DEBORAH LYNNE SANEDA |
NPI Number: | 1295822641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. PSYCHOLOGIST |
License Number: | 0810003706 |
Business Practice Address: | 1035 W Main St Suite A Wytheville, VA - 243822106 |
Business Phone Number: | 2762286900 |
Business Fax Number: | 2762286910 |
Mailing Address: | 1035 W Main St, Suite A WYTHEVILLE |
State: | VA |
Postal Code: | 243822106 |
Phone Number: | 2762286900 |
Fax Number: | 2762286910 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810003706 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |