Provider Demographics
NPI:1891842712
Name:DELANEY, SADI IRVINE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SADI
Middle Name:IRVINE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-1517
Mailing Address - Country:US
Mailing Address - Phone:908-320-0395
Mailing Address - Fax:908-320-0395
Practice Address - Street 1:313 2ND ST
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1517
Practice Address - Country:US
Practice Address - Phone:908-320-0395
Practice Address - Fax:908-320-0395
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00036900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional