Doctor Name: | LISA M SANDERS |
NPI Number: | 1073594602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05334000 |
Business Practice Address: | 3250 Route 27 103 Kendall Park, NJ - 088241536 |
Business Phone Number: | 9085076671 |
Business Fax Number: | 7329512135 |
Mailing Address: | 3250 State Route 27, 103 KENDALL PARK |
State: | NJ |
Postal Code: | 088241445 |
Phone Number: | 9085076671 |
Fax Number: | 7329512135 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05334000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |