Provider Demographics
NPI:1821324088
Name:ENG, SANDRA (PHD, LP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:ENG
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:SANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LP
Mailing Address - Street 1:4749 CHICAGO AVE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3556
Mailing Address - Country:US
Mailing Address - Phone:651-955-8232
Mailing Address - Fax:651-344-0771
Practice Address - Street 1:690 CLEVELAND AVE S STE 202
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1319
Practice Address - Country:US
Practice Address - Phone:651-955-8232
Practice Address - Fax:651-344-0771
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5492103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling