Doctor Name: | SANDRA L ANDROCKITIS |
NPI Number: | 1073778270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NCC |
License Number: | |
Business Practice Address: | 80 S Main Rd Suite 113 Vineland, NJ - 083607829 |
Business Phone Number: | 8566964064 |
Business Fax Number: | 8566964638 |
Mailing Address: | 80 S Main Rd, Suite 113 VINELAND |
State: | NJ |
Postal Code: | 083607829 |
Phone Number: | 8566964064 |
Fax Number: | 8566964638 |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |