Provider Demographics
NPI:1073778270
Name:ANDROCKITIS, SANDRA L (MS, NCC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:L
Last Name:ANDROCKITIS
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:L
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC
Mailing Address - Street 1:80 S MAIN RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-7829
Mailing Address - Country:US
Mailing Address - Phone:856-696-4064
Mailing Address - Fax:856-696-4638
Practice Address - Street 1:80 S MAIN RD
Practice Address - Street 2:SUITE 113
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-7829
Practice Address - Country:US
Practice Address - Phone:856-696-4064
Practice Address - Fax:856-696-4638
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health