Provider Demographics
NPI:1902075880
Name:SABATINI, ANDREA B (LICENSED CLINICAL PS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:B
Last Name:SABATINI
Suffix:
Gender:F
Credentials:LICENSED CLINICAL PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000B LAKE ST
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1285
Mailing Address - Country:US
Mailing Address - Phone:201-327-1996
Mailing Address - Fax:201-327-1936
Practice Address - Street 1:1000B LAKE ST
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1285
Practice Address - Country:US
Practice Address - Phone:201-327-1996
Practice Address - Fax:201-327-1936
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3333103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical