DR. SANDRA ROBERTS ED.D NPI 1659601458

NPI Information

NPI: 1659601458
Provider Name: DR. SANDRA ROBERTS, ED.D
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
358 CEDAR CREST DR
TILLMAN, SC
ZIP 29943
Phone: (843) 726-8460
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DR. Sandra Roberts, ED.D is a professional counselor in Tillman, SC. DR. Sandra Roberts, ED.D NPI is 1659601458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

358 CEDAR CREST DR
TILLMAN, SC
ZIP 29943-006
Phone: (843) 726-8460

The enumeration date for this NPI number is 12/30/2009 and was last updated on 12/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5599	GEORGIA	No
2	101YP2500X	Counselor	Professional	4660	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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