Provider Demographics
NPI:1881897460
Name:COVELMAN, SANDRA (MSS)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:COVELMAN
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 ANN DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2721
Mailing Address - Country:US
Mailing Address - Phone:856-354-0137
Mailing Address - Fax:856-354-6243
Practice Address - Street 1:1000 WHITE HORSE RD
Practice Address - Street 2:SUITE 408, GLENDALE EXECUTIVE CAMPUS
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4406
Practice Address - Country:US
Practice Address - Phone:856-783-7551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000059001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical