Healthcare Provider Details

I. General information

NPI: 1003730151
Provider Name (Legal Business Name): SANDRA FREY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MARTIN GROSS DR
LANGHORNE PA
19047-1616
US

IV. Provider business mailing address

232 HILLCREST LN
BLACKWOOD NJ
08012-4911
US

V. Phone/Fax

Practice location:
  • Phone: 445-529-2502
  • Fax:
Mailing address:
  • Phone: 215-906-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020771
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: