Provider Demographics
NPI:1457574451
Name:SANDLER, WENDY LIN (PSYD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LIN
Last Name:SANDLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 ANDOVER ST STE 403
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5631
Mailing Address - Country:US
Mailing Address - Phone:978-880-5606
Mailing Address - Fax:
Practice Address - Street 1:204 ANDOVER ST STE 403
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5702
Practice Address - Country:US
Practice Address - Phone:978-880-5606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9540103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical