Provider Demographics
NPI:1073591129
Name:CANFIELD, SARAH M
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:M
Last Name:CANFIELD
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 1:47 MARCHWOOD RD
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1835
Mailing Address - Country:US
Mailing Address - Phone:610-280-3959
Mailing Address - Fax:610-280-9776
Practice Address - Street 1:47 MARCHWOOD RD
Practice Address - Street 2:SUITE 1-C
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1835
Practice Address - Country:US
Practice Address - Phone:610-280-3959
Practice Address - Fax:610-280-9776
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003501101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2322222000OtherPERSONAL CHOICE