Most Relevant Information
Provider Data
| NPI Number: | 1003238296 |
| Provider Name: | SANDRA THEBAUD PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 3300 |
Most Important Dates
| Enumeration Date: | 01/08/2014 |
| Last Updated: | 01/08/2014 |
Provider Practice Location
50 SOUTH STEELE ST
SUITE 435
DENVER
CO
80206
Practice Location Phone/Fax
| Phone: | 7203788080 |
| Fax: |
Provider Mailing Location
PO BOX 5754
DENVER
CO
80217
Provider Mailing Phone/Fax
| Phone: | 7203788080 |
| Fax: |