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Contact Information

SANFORD B MINTZ, PHD
SANFORD MINTZ PHD 53423 AVENIDA DIAZ
LA QUINTA
RIVERSIDE, CA92253
 Phone: 305-663-0010
 Fax: 305-663-4212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANFORD B MINTZ · (Male)

NPI # 1134248941
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/29/2007
Last updated 06/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 3171
  • FL Other 75459 BLUE CROSS / BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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