Provider Demographics
NPI:1588001879
Name:AEGERTER, SANDRINE ANNE (LMHC, LPC)
Entity Type:Individual
Prefix:MS
First Name:SANDRINE
Middle Name:ANNE
Last Name:AEGERTER
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:MS
Other - First Name:SANDRINE
Other - Middle Name:ANNE
Other - Last Name:AEGERTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:16420 N THOMPSON PEAK PKWY UNIT 1122
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2169
Mailing Address - Country:US
Mailing Address - Phone:617-935-2245
Mailing Address - Fax:
Practice Address - Street 1:16420 N THOMPSON PEAK PKWY UNIT 1122
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2169
Practice Address - Country:US
Practice Address - Phone:617-935-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9883101YM0800X
AZ18597101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health