Provider Demographics
NPI:1043593163
Name:FARINA, SARA JANE (BS)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:JANE
Last Name:FARINA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 CANDLEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2996
Mailing Address - Country:US
Mailing Address - Phone:215-873-1637
Mailing Address - Fax:
Practice Address - Street 1:447 CANDLEWOOD WAY
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2996
Practice Address - Country:US
Practice Address - Phone:215-873-1637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist