| Doctor Name: | SANDRA VASQUEZ |
| NPI Number: | 1710264973 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1720 S Amphlett Blvd Ste 123 San Mateo, CA - 944022710 |
| Business Phone Number: | 6505788691 |
| Business Fax Number: | |
| Mailing Address: | 136 N San Mateo Dr Ste 102, SAN MATEO |
| State: | CA |
| Postal Code: | 944012779 |
| Phone Number: | 6505584392 |
| Fax Number: | 6503730778 |
| NPI Enumeration Date: | 11/15/2011 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |