Provider Demographics
NPI:1316143928
Name:SANDS, SUSAN HASTWELL (PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:HASTWELL
Last Name:SANDS
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 SOLANO AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2118
Mailing Address - Country:US
Mailing Address - Phone:510-841-4889
Mailing Address - Fax:
Practice Address - Street 1:1664 SOLANO AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94707-2118
Practice Address - Country:US
Practice Address - Phone:510-841-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7813103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical