Provider Demographics
NPI:1043229396
Name:GALBRAITH, SARA ASHWORTH (MS)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ASHWORTH
Last Name:GALBRAITH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 J ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4313
Mailing Address - Country:US
Mailing Address - Phone:916-498-1322
Mailing Address - Fax:530-792-8323
Practice Address - Street 1:2620 J ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4313
Practice Address - Country:US
Practice Address - Phone:916-498-1322
Practice Address - Fax:530-792-8323
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 31125106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist