Dr Sandra Small Duis, PHD is a
Psychologist - Clinical based in Forest, Virginia. Dr Sandra Small Duis is licensed to practice in Virginia (license number 0810002737) and her current practice location is
1563 Crossings Centre Drive, Suite 200, Forest, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 525-1907.
NPI number for Dr Sandra Small Duis is 1104846518 and her current mailing address is 1563 Crossings Centre Drive, Suite 200, Forest, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104846518.
Healthcare Provider's Profile
| Full Name | Dr Sandra Small Duis |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 1563 Crossings Centre Drive, Forest, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104846518
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 08/24/2009
Medical Identifiers
Medical identifiers for Dr Sandra Small Duis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104846518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 0810002737 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandra Small Duis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sandra Small Duis, PHD
1563 Crossings Centre Drive, Suite 200,
Forest, VA 24551
Ph: (434) 525-1907 | Dr Sandra Small Duis, PHD
1563 Crossings Centre Drive, Suite 200,
Forest, VA 24551
Ph: (434) 525-1907 |
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