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NPI 1114333176

NPI 1114333176 : SANDRA LINDEMUTH MA, LPC : NORTHFIELD, NJ

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General NPI Number Information
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    NPI Number           |    1114333176
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA LINDEMUTH MA, LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/10/2014
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    Last Update Date     |    08/28/2025
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Provider Practice Location Address
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    Address Line         |    1418 NEW RD STE 1 
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    City                 |    NORTHFIELD
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    State                |    NJ
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    Zip                  |    08225-1179
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    Country              |    US
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    Telephone            |    609-796-7969
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 COLLEGE RD E 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08540-6775
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    Country              |    US
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    Telephone            |    856-308-8808
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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