Provider Demographics
NPI:1386789212
Name:SANDIS, JOHANNA MIEKE MOLNAR (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:MIEKE MOLNAR
Last Name:SANDIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JOHANNA
Other - Middle Name:MOLNAR
Other - Last Name:WARCHOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:9200 W CROSS DR STE 225
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-0700
Mailing Address - Country:US
Mailing Address - Phone:720-358-3864
Mailing Address - Fax:
Practice Address - Street 1:9200 W CROSS DR STE 225
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-0700
Practice Address - Country:US
Practice Address - Phone:720-358-3864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004359103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical