Provider Demographics
NPI:1801077698
Name:DAUPHINAIS, SANDRA P (BS SPECIAL ED)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:P
Last Name:DAUPHINAIS
Suffix:
Gender:F
Credentials:BS SPECIAL ED
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Mailing Address - Street 1:22 ALVANOS DR
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-1322
Mailing Address - Country:US
Mailing Address - Phone:978-372-6354
Mailing Address - Fax:
Practice Address - Street 1:22 ALVANOS DR
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-1322
Practice Address - Country:US
Practice Address - Phone:978-372-6354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist