Provider Demographics
NPI:1114534310
Name:SANDBERG, ALANA MAY (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:MAY
Last Name:SANDBERG
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MS
Other - First Name:ALANA
Other - Middle Name:MAY
Other - Last Name:ORNSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10421 68TH DR APT A20
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3475
Mailing Address - Country:US
Mailing Address - Phone:516-317-6655
Mailing Address - Fax:
Practice Address - Street 1:10421 68TH DR APT A20
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3475
Practice Address - Country:US
Practice Address - Phone:516-317-6655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2972079103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool