Provider Demographics
NPI:1083848287
Name:PARIZEK, SARA (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:PARIZEK
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 19TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:55008-9330
Mailing Address - Country:US
Mailing Address - Phone:612-597-0155
Mailing Address - Fax:
Practice Address - Street 1:109 19TH AVE SE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MN
Practice Address - Zip Code:55008-9330
Practice Address - Country:US
Practice Address - Phone:612-597-0155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1722106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist