Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sand R. Bagoon, Ph D , PA

Organization Counseling Psychologist · NPI 1780980912

Sand R. Bagoon, Ph D , PA is a Counseling Psychologist in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3355 Saint Johns Ln Ste F
Ellicott City, MD 21042-2605
Phone: (410) 781-7263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 02686 (MD)

Record details

NPI number1780980912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sand Bagoon — Licensed Psychologist · (410) 781-7263
NPI enumeratedFebruary 5, 2011
Last updated in NPPESFebruary 5, 2011
Mailing address1263 Guilford Rd, Eldersburg, MD 21784-8862

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