| Doctor Name: | DR. MARIE T. SANDOLI |
| NPI Number: | 1003977216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., L.I.C.S.W. |
| License Number: | |
| Business Practice Address: | 21 Pheasant Ct Auburn, MA - 015012457 |
| Business Phone Number: | 5088322953 |
| Business Fax Number: | |
| Mailing Address: | Po Box 665, EAST BROOKFIELD |
| State: | MA |
| Postal Code: | 015150665 |
| Phone Number: | 5088677267 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |