Doctor Name: | DR. SANDRA NEUWELT-TRUNTZER |
NPI Number: | 1891742920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PSYCH7890 |
Business Practice Address: | 4966 El Camino Real Suite 115 Los Altos, CA - 940221436 |
Business Phone Number: | 6509618773 |
Business Fax Number: | 6503279540 |
Mailing Address: | 4966 El Camino Real, Suite 115 LOS ALTOS |
State: | CA |
Postal Code: | 940221436 |
Phone Number: | 6509618773 |
Fax Number: | 6503279540 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSYCH7890 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |