Provider Demographics
NPI:1093496994
Name:NEILD, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:NEILD
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 1:928 HART CIR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-3101
Mailing Address - Country:US
Mailing Address - Phone:814-574-6530
Mailing Address - Fax:
Practice Address - Street 1:315 S ALLEN ST STE 218
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4850
Practice Address - Country:US
Practice Address - Phone:814-308-0704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health