Provider Demographics
NPI:1083283899
Name:SPIEGEL, SARAH (LCPC-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-4110
Mailing Address - Country:US
Mailing Address - Phone:207-799-4160
Mailing Address - Fax:
Practice Address - Street 1:1329 BROADWAY
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-4110
Practice Address - Country:US
Practice Address - Phone:207-799-4160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional