Provider Demographics
NPI:1073283941
Name:SANDERS-DEWEY, NEVA EMILY JOY (PHD)
Entity type:Individual
Prefix:DR
First Name:NEVA
Middle Name:EMILY JOY
Last Name:SANDERS-DEWEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 PINE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-5512
Mailing Address - Country:US
Mailing Address - Phone:716-693-0043
Mailing Address - Fax:
Practice Address - Street 1:49 PINE WOODS DR
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-5512
Practice Address - Country:US
Practice Address - Phone:716-545-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017092103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical