Provider Demographics
NPI:1154849156
Name:PATHS TO WELLBEING
Entity Type:Organization
Organization Name:PATHS TO WELLBEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRANZLER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:551-265-8883
Mailing Address - Street 1:PO BOX 3872
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14852-3872
Mailing Address - Country:US
Mailing Address - Phone:551-265-8883
Mailing Address - Fax:
Practice Address - Street 1:903 HANSHAW RD STE 7
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1530
Practice Address - Country:US
Practice Address - Phone:551-265-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020892-1251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health