Provider Demographics
NPI:1134312622
Name:GILMAN, SARRI LIZA (LMFT)
Entity Type:Individual
Prefix:
First Name:SARRI
Middle Name:LIZA
Last Name:GILMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 SUZANNE COURT
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260
Mailing Address - Country:US
Mailing Address - Phone:360-221-4321
Mailing Address - Fax:
Practice Address - Street 1:742 SUZANNE CT
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-8609
Practice Address - Country:US
Practice Address - Phone:360-221-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001341106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist