Provider Demographics
NPI:1588779219
Name:SAYNISCH, DOROTHY CHANDLER (PHD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:CHANDLER
Last Name:SAYNISCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DOROTHY
Other - Middle Name:E
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:36 TANNER ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2494
Mailing Address - Country:US
Mailing Address - Phone:856-429-3930
Mailing Address - Fax:856-429-3930
Practice Address - Street 1:36 TANNER ST
Practice Address - Street 2:SUITE B
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2494
Practice Address - Country:US
Practice Address - Phone:856-429-3930
Practice Address - Fax:856-429-3930
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004154L103T00000X
NJ35SI00193800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0102316000OtherAMERIHEALTH
011215000OtherMAGELLAN
051823OtherVALUE OPTIONS
4502255OtherAETNA