| Doctor Name: | SANDRA RADOMSKI |
| NPI Number: | 1245429034 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SC13422 |
| Business Practice Address: | 306 Roosevelt Blvd Ocean City, NJ - 082261863 |
| Business Phone Number: | 2153563478 |
| Business Fax Number: | |
| Mailing Address: | Po Box 237, OCEAN CITY |
| State: | NJ |
| Postal Code: | 082260237 |
| Phone Number: | 2153563478 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2007 |
| NPI Last Update Date: | 10/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | SC13422 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |