Individual
DR. SANDRA JANE ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1605
(585) 427-0270
(585) 427-0270
Mailing address
200 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1605
(585) 427-0270
(585) 427-0270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
7743-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7743-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73334000
AETNA
NY
Enumeration date
01/13/2007
Last updated
09/11/2025
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