Provider Demographics
NPI:1114333176
Name:LINDEMUTH, SANDRA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:LINDEMUTH
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 HADDONFIELD RD STE 330
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-4802
Mailing Address - Country:US
Mailing Address - Phone:856-383-6387
Mailing Address - Fax:
Practice Address - Street 1:800 JESSUP RD STE 803A
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08086-9354
Practice Address - Country:US
Practice Address - Phone:856-383-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health