Provider Demographics
NPI:1295374411
Name:COHEN SANDLER, RONI (PHD)
Entity Type:Individual
Prefix:
First Name:RONI
Middle Name:
Last Name:COHEN SANDLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-1527
Mailing Address - Country:US
Mailing Address - Phone:203-856-6776
Mailing Address - Fax:
Practice Address - Street 1:7 WHITE OAK LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:CT
Practice Address - Zip Code:06883-1527
Practice Address - Country:US
Practice Address - Phone:203-222-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1242103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent