| Doctor Name: | DR. SANDRA LEE PROTULIPAC |
| NPI Number: | 1831222892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD |
| License Number: | 24679297 |
| Business Practice Address: | 30 Warrendale Bayne Rd Warrendale, PA - 150867558 |
| Business Phone Number: | 4127196202 |
| Business Fax Number: | |
| Mailing Address: | 2274 Montgomery Rd, SEWICKLEY |
| State: | PA |
| Postal Code: | 151439516 |
| Phone Number: | 4127196202 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 24679297 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |