Provider Demographics
NPI:1013568070
Name:SADHU, GITANJALI DEVI (LMFT)
Entity Type:Individual
Prefix:MS
First Name:GITANJALI
Middle Name:DEVI
Last Name:SADHU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:SADHU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4307 39TH PL APT 4E
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-4346
Mailing Address - Country:US
Mailing Address - Phone:646-623-8002
Mailing Address - Fax:
Practice Address - Street 1:6 E 39TH ST STE 503
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0448
Practice Address - Country:US
Practice Address - Phone:646-623-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-21
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001509-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist