Healthcare Provider Details

I. General information

NPI: 1114333176
Provider Name (Legal Business Name): SANDRA LINDEMUTH MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1418 NEW RD STE 1
NORTHFIELD NJ
08225-1179
US

IV. Provider business mailing address

101 COLLEGE RD E
PRINCETON NJ
08540-6775
US

V. Phone/Fax

Practice location:
  • Phone: 609-796-7969
  • Fax:
Mailing address:
  • Phone: 856-308-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: