Provider Demographics
NPI:1033890488
Name:SZYMANOWSKI, SARAH G
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:G
Last Name:SZYMANOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434-135 KILDAIRE FARM RD
Mailing Address - Street 2:#726
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:703-677-2662
Mailing Address - Fax:
Practice Address - Street 1:3434-135 KILDAIRE FARM RD
Practice Address - Street 2:#726
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518
Practice Address - Country:US
Practice Address - Phone:703-677-2662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19050101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health