Provider Demographics
NPI:1104456177
Name:SANDLER, STEPHANIE L (PHD, LMHC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:SANDLER
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1836
Mailing Address - Country:US
Mailing Address - Phone:845-765-2047
Mailing Address - Fax:
Practice Address - Street 1:37 BROAD ST
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1836
Practice Address - Country:US
Practice Address - Phone:845-765-2047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-18
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001986-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health