Provider Demographics
NPI:1225347750
Name:FRIBERG, SARAH (CPM, LM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FRIBERG
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 COUNTY ROAD 1336
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:75686-6314
Mailing Address - Country:US
Mailing Address - Phone:903-285-1926
Mailing Address - Fax:903-200-1514
Practice Address - Street 1:353 COUNTY ROAD 1336
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:TX
Practice Address - Zip Code:75686-6314
Practice Address - Country:US
Practice Address - Phone:903-285-1926
Practice Address - Fax:903-200-1514
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99123176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife