| Doctor Name: | MR. DENNIS H SANDROCK |
| NPI Number: | 1184655425 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2769 |
| Business Practice Address: | 2509 Park Ave South Plainfield, NJ - 070805300 |
| Business Phone Number: | 9087531800 |
| Business Fax Number: | 9087532620 |
| Mailing Address: | 2509 Park Avenue Suite 2a, SOUTH PLAINFIELD |
| State: | NJ |
| Postal Code: | 07080 |
| Phone Number: | 9087531800 |
| Fax Number: | 9087532620 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 2769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |