Graduated: 2016
NPI: 1245646363
Practice Locations (2)
SONDERMIND PROVIDER NETWORK LLC
3597 E MONARCH SKY LN, SUITE 240
MERIDIAN, ID 836461055
8666300966
SONDERMIND PROVIDER NETWORK LLC
20 S 3RD ST, SUITE 210
COLUMBUS, OH 432154206
8666300966
Source: CMS National Downloadable File, September 2026.