Sneiderman, Sandra Elena

Sneiderman, Sandra Elena is an individual health care provider with primary practice located at 125 John Roberts Rd 12, South Portland ME 04106-3295. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sneiderman, Sandra Elena can be contacted via phone (208) 828-0048.

Contact Information

Primary practice address
125 John Roberts Rd 12 South Portland ME 04106-3295
Phone: (208) 828-0048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X XL3843 Maine

Profile Details

NPI number 1265717516
LBN Legal business name Sneiderman, Sandra Elena
Credentials LCPC-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2011
Last updated Oct 19th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265717516 NPPES
Maine MEDICAID SES1139

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