Provider Demographics
NPI:1275530040
Name:RABIN, SANDRA C (MA)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:C
Last Name:RABIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 POPLAR CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2203
Mailing Address - Country:US
Mailing Address - Phone:717-763-7400
Mailing Address - Fax:717-909-9567
Practice Address - Street 1:34 NORTHEAST DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2732
Practice Address - Country:US
Practice Address - Phone:717-835-1900
Practice Address - Fax:717-835-0980
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000483L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01962731Medicaid
PA029744OtherKEYSTONE HEALTH PLAN
PA640003728OtherRAILROAD INSURANCE
PA138440OtherHEALTHAMERICA
PARA290744OtherPA BLUE SHIELD
PA23045OtherCAPITAL BLUE CROSS
PA01962731Medicaid