National Provider Identifier Database

JUSTIN D SANDBERG, BA – NPI #1699400648
Health Service

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).


Contact Information

JUSTIN D SANDBERG, BA
2921 N TENAYA WAY
LAS VEGAS, NV89128-1409
Phone: 702-978-8000
Fax:
Website:
Specialty Taxonomy Code
* Health Service 103TH0100X

* Indicates primary specialty

NPI Profile & details for JUSTIN D SANDBERG

NPI Number 1699400648
Credentials BA
Entity Individual
Enumeration date 07/22/2022
Last updated 07/22/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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