| Doctor Name: | MRS. SANDRA JANE HASELDINE |
| NPI Number: | 1164687174 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.M.H.C |
| License Number: | 0680000655 |
| Business Practice Address: | 133 Blakely Rd Suite 14 Colchester, VT - 054464007 |
| Business Phone Number: | 8027353061 |
| Business Fax Number: | |
| Mailing Address: | 179 Hardscrabble Rd, MILTON |
| State: | VT |
| Postal Code: | 054683153 |
| Phone Number: | 8027353061 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2008 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0680000655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |