Doctor Name: | DAVID A SANDLER |
NPI Number: | 1720126279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 089 0064281 |
Business Practice Address: | 89 Ridge Rd Cornwall, VT - 057539594 |
Business Phone Number: | 8024623816 |
Business Fax Number: | |
Mailing Address: | 89 Ridge Rd, CORNWALL |
State: | VT |
Postal Code: | 057539594 |
Phone Number: | 8024623816 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 05/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089 0064281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |