Provider Demographics
NPI:1093935462
Name:MAGGITTI, SARA TURNBULL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:TURNBULL
Last Name:MAGGITTI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 GLENMARY RD
Mailing Address - Street 2:
Mailing Address - City:ST DAVIDS
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4407
Mailing Address - Country:US
Mailing Address - Phone:610-688-4824
Mailing Address - Fax:610-688-3014
Practice Address - Street 1:CABRINI COLLEGE COUNSELING SERVICES
Practice Address - Street 2:610 KING OF PRUSSIA ROAD
Practice Address - City:RADNOR
Practice Address - State:PA
Practice Address - Zip Code:19087-3698
Practice Address - Country:US
Practice Address - Phone:610-902-8561
Practice Address - Fax:610-902-8766
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015625103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical