Rodgin, Sandra
Rodgin, Sandra is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Rodgin, Sandra can be contacted via phone (310) 423-9722.Contact Information
Primary practice address
8700 Beverly Blvd
West Hollywood CA 90048-1804
Phone: (310) 423-9722
Fax: (310) 248-8710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY32768 | California |
Profile Details
| NPI number | 1982256814 |
|---|---|
| LBN Legal business name | Rodgin, Sandra |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2019 |
| Last updated | Nov 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982256814 | NPPES |
| Other | 390200000X | STUDENT IN HEALTH CARE |
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