| Doctor Name: | MS. SANDRA JOYCE WORTHINGTON |
| NPI Number: | 1023388618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.A. |
| License Number: | 1473 |
| Business Practice Address: | 4495 Magnolia Ln Hudson, NC - 286388708 |
| Business Phone Number: | 8283085932 |
| Business Fax Number: | |
| Mailing Address: | 4495 Magnolia Ln, HUDSON |
| State: | NC |
| Postal Code: | 286388708 |
| Phone Number: | 8283085932 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2012 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 1473 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |