Sand R. Bagoon, Ph.d., PA
NPI #1780980912 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1780980912
- Entity Type
- Organization
- Organization Name
- Sand R. Bagoon, Ph.d., PA
- Primary Specialty
- Psychologist - Counseling
- Enumeration Date
- Feb 5, 2011
- Last Updated
- Feb 5, 2011
Practice Location
- Address
- 3355 SAINT JOHNS LN
- Address 2
- SUITE F
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-2605
- Phone
- (410) 781-7263
Authorized Official
- Name
- DR. SAND ROYCE BAGOON, PH.D.
- Title
- LICENSED PSYCHOLOGIST
- Phone
- (410) 781-7263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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