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Contact Information

SANDRA S LEE
236 CRESCENZI CT
WEST ORANGE, NJ07052-4136
 Phone: 862-520-5383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA S LEE · (Female)

NPI # 1750904090
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2020
Last updated 05/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35SI00250900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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