Provider Demographics
NPI:1982215240
Name:MAYER, SANDRA JOSEPHINE (AUD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:JOSEPHINE
Last Name:MAYER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 SWAGGERTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-9628
Mailing Address - Country:US
Mailing Address - Phone:518-441-5971
Mailing Address - Fax:
Practice Address - Street 1:4 PALISADES DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205
Practice Address - Country:US
Practice Address - Phone:518-599-0068
Practice Address - Fax:518-326-1742
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist