MEDICARE: CEDAR PARK THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1760312078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR PARK THERAPY

Provider Business Mailing Address
First Line	:	919 S SAINT BERNARD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 S SAINT BERNARD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3310
Country	:	US
Telephone Number	:	267-482-0353
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JENNY SANDLER
Credential	:	LCSW, MED, MSW
Telephone Number	:	215-589-9978

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “CEDAR PARK THERAPY ” Practice Location

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