Provider Demographics
NPI:1114325743
Name:ARMSTRONG, SARA JENNINGS (MA, MFTI)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:JENNINGS
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 PALOMA AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-2435
Mailing Address - Country:US
Mailing Address - Phone:650-738-5740
Mailing Address - Fax:
Practice Address - Street 1:1818 GILBRETH RD
Practice Address - Street 2:SUITE 230
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1225
Practice Address - Country:US
Practice Address - Phone:650-348-6603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-13
Last Update Date:2014-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF76236106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist