Healthcare Provider Details

I. General information

NPI: 1932360153
Provider Name (Legal Business Name): SANDRA REDICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA RABIDOU LCSW

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 S CHAPEL ST STE 102
NEWARK DE
19713-3468
US

IV. Provider business mailing address

910 S CHAPEL ST STE 102
NEWARK DE
19713-3468
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-1400
  • Fax: 302-224-1402
Mailing address:
  • Phone: 302-224-1400
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberQ1-0000933
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: