Provider Demographics
NPI:1073521621
Name:TURNEY, SANDRA PAGE (LCSW)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:PAGE
Last Name:TURNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 N HALL ST
Mailing Address - Street 2:#623
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-5107
Mailing Address - Country:US
Mailing Address - Phone:214-528-3722
Mailing Address - Fax:214-528-3724
Practice Address - Street 1:3626 N HALL ST
Practice Address - Street 2:#623
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-5107
Practice Address - Country:US
Practice Address - Phone:214-528-3722
Practice Address - Fax:214-528-3724
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS158711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS11178Medicare UPIN
TX00070EMedicare ID - Type Unspecified