Healthcare Provider Details
I. General information
NPI: 1235785254
Provider Name (Legal Business Name): CAREN J SANDLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/15/2019
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 ATWOOD DR STE 301
NORTHAMPTON MA
01060-4266
US
IV. Provider business mailing address
8 ATWOOD DR STE 301
NORTHAMPTON MA
01060-4266
US
V. Phone/Fax
- Phone: 413-586-5382
- Fax: 413-582-1832
- Phone: 413-586-5382
- Fax: 413-582-1832
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: