Provider Demographics
NPI:1114293446
Name:SCHOLAND, SANDRA LUCIA
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LUCIA
Last Name:SCHOLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:LUCIA
Other - Last Name:LEDEZMA CAMPODONICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1930 DERBY TRL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6236
Mailing Address - Country:US
Mailing Address - Phone:954-821-8920
Mailing Address - Fax:
Practice Address - Street 1:BUTTERFLY EFFECTS 2708 NE 14TH ST.
Practice Address - Street 2:SUITE 5
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062
Practice Address - Country:US
Practice Address - Phone:888-880-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLS453792856020222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist