SANDRA LEE BRINDAMOUR (NPI# 1427297720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427297720 |
Entity Type | Individual |
Full Name | SANDRA LEE BRINDAMOUR |
Credential | PSY.D |
Practice Address |
3018 Old Minden Rd Suite 1111 Bossier City LA 71112-2476 |
Practice Telephone | 3187417485 |
Mailing Telephone | 3187417485 |
Enumeration Date | 2009-02-10 |
Last Update Date | 2009-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1036 | LA | Behavioral Health & Social Service Providers |
Street Address |
3018 OLD MINDEN RD SUITE 1111 |
City | BOSSIER CITY |
State | LA |
Zip Code | 71112-2476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619946001 | Lionel Guillaume | Specialist | 3018 Old Minden Rd, Suite 1212, Bossier City, LA 71112-2495 | 2006-03-16 |
1124540059 | Jazmine Cooper | Case Manager/Care Coordinator | 3018 Old Minden Rd, Bossier City, LA 71112 | 2017-07-12 |
1356880397 | Gary Dupree Jr. | Counselor | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2017-02-22 |
1407395049 | Brandy Brown | Case Manager/Care Coordinator | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2017-02-15 |
1659813178 | Elise Gardner | Counselor | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2016-11-15 |
1962952507 | Joyce Wheeler | Counselor | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2016-10-06 |
1467808196 | Ruthie Adams | Counselor | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2016-05-12 |
1699138370 | Sarah Barfield | Counselor | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2016-03-31 |
1750756482 | Audria Lynette Musgrove | Counselor | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2015-12-07 |
1982079026 | Tacita Long | Counselor | 3018 Old Minden Rd, Bossier City, LA 71112-2476 | 2015-12-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
Find all providers in zip 71112 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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---|---|---|---|---|
1578702643 | Arien Mckenzie Ward | Psychologist | 5401 Shed Rd, Bossier City, LA 71111-5420 | 2009-02-13 |
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Find all providers with the same taxonomy |
City | BOSSIER CITY |
Zip Code | 71112 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.