MEDICARE: DR. SANDRA SINGER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	4840	NJ

General Provider Information

NPI Number	:	1235496332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA SINGER PHD

Provider Business Mailing Address
First Line	:	7 S MAIN ST STE B
Second Line	:
City	:	MARLBORO
State	:	NJ
Zip	:	07746-1578
Country	:	US
Telephone Number	:	732-617-0451
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 S MAIN ST STE B
Second Line	:
City	:	MARLBORO
State	:	NJ
Zip	:	07746-1578
Country	:	US
Telephone Number	:	732-617-0451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2012
Last Update Date	:	04/13/2012

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