Provider Demographics
NPI:1831147222
Name:SACHS, JANET SANDELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:SANDELL
Last Name:SACHS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 771
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-0771
Mailing Address - Country:US
Mailing Address - Phone:610-667-2524
Mailing Address - Fax:215-233-6010
Practice Address - Street 1:771 YALE ROAD
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004
Practice Address - Country:US
Practice Address - Phone:610-667-2524
Practice Address - Fax:215-233-6010
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004255L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SA444354Medicare ID - Type Unspecified
R06990Medicare UPIN