Provider Demographics
NPI:1346441359
Name:EASTWICK, SANDRA P (MASTERS OF ARTS)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:P
Last Name:EASTWICK
Suffix:
Gender:F
Credentials:MASTERS OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RIVER MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:WEST NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01985-1400
Mailing Address - Country:US
Mailing Address - Phone:978-363-2184
Mailing Address - Fax:
Practice Address - Street 1:10 RIVER MEADOW DR
Practice Address - Street 2:
Practice Address - City:WEST NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01985-1400
Practice Address - Country:US
Practice Address - Phone:978-363-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health