Provider Demographics
NPI:1194871343
Name:STINGLE, SANDRA FROMER (PH D,)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:FROMER
Last Name:STINGLE
Suffix:
Gender:F
Credentials:PH D,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 W 64TH ST
Mailing Address - Street 2:APT. 39 NOP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7129
Mailing Address - Country:US
Mailing Address - Phone:212-877-5346
Mailing Address - Fax:
Practice Address - Street 1:20 W 64TH ST
Practice Address - Street 2:APT. 39 NOP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7129
Practice Address - Country:US
Practice Address - Phone:212-877-5346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4868103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist