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Contact Information

SANDRA R STADER, PHD
1800 COLONIAL DR
COLUMBIA, SC29203-6827
 Phone: 803-898-8405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA R STADER · (Female)

NPI # 1659423721
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/17/2007
Last updated 03/10/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 621
  • SC Medicaid PS0302
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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