Lyle J Sandquist PHD LMFT

NPI 1083697544 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1083697544
Gender Male
Enumeration Date 11/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
215 MOUNTAIN DRIVE
STE 106
DESTIN FL, 32541-2346, US
Phone (850) 837-9100
Fax (850) 837-7300
Business Location
215 MOUNTAIN DRIVE
STE 106
DESTIN FL, 32541-2346, US
Phone (850) 837-9100
Fax (850) 837-7300
Toxanomy
Taxonomy Code 106H00000X
License State Florida
License Number MT1053
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According to our database, Lyle J Sandquist PHD LMFT NPI is 1083697544, taxonomy code is 106H00000X and license number is MT1053, license state is located at Florida. Lyle J Sandquist PHD LMFT physically located at 215 Mountain Drive, Destin FL, 32541-2346. NPI Number Lyle J Sandquist PHD LMFT has the Individual type.

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1083697544 NPI number is provided on an as is basis without warranty of any kind. 1083697544 is maintained by the National Plan & Provider Enumeration System. The contents of Lyle J Sandquist PHD LMFT are for informational purposes only.