Provider Demographics
NPI:1225301815
Name:CAREY, SANDRA G (PSYD, MS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:G
Last Name:CAREY
Suffix:
Gender:F
Credentials:PSYD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 IROQUOIS AVE
Mailing Address - Street 2:STE 404
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8570
Mailing Address - Country:US
Mailing Address - Phone:630-286-0993
Mailing Address - Fax:844-616-1412
Practice Address - Street 1:1280 IROQUOIS AVE
Practice Address - Street 2:STE 404
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8570
Practice Address - Country:US
Practice Address - Phone:630-286-0993
Practice Address - Fax:844-616-1412
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008297103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical