Provider Demographics
NPI:1417118894
Name:GOZANSKY, SINDEE J (LCPC)
Entity Type:Individual
Prefix:
First Name:SINDEE
Middle Name:J
Last Name:GOZANSKY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:SINDEE
Other - Middle Name:J
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:196 OCEAN HOUSE RD # 1
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-2011
Mailing Address - Country:US
Mailing Address - Phone:207-653-1496
Mailing Address - Fax:
Practice Address - Street 1:10 ROUNDABOUT LN
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-2908
Practice Address - Country:US
Practice Address - Phone:207-653-1496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional