Provider Demographics
NPI:1497990352
Name:YASHPAN, SAUNDRA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SAUNDRA
Middle Name:
Last Name:YASHPAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SAUNDRA
Other - Middle Name:
Other - Last Name:SUSSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:25 OLD ORCHARD RD.
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804
Mailing Address - Country:US
Mailing Address - Phone:914-576-5537
Mailing Address - Fax:
Practice Address - Street 1:25 OLD ORCHARD RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804
Practice Address - Country:US
Practice Address - Phone:914-576-5537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021826-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker