Provider Demographics
NPI:1316364631
Name:DOLZA, SARAH (BS, MA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DOLZA
Suffix:
Gender:F
Credentials:BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 DAVISBURG RD
Mailing Address - Street 2:
Mailing Address - City:DAVISBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48350-2222
Mailing Address - Country:US
Mailing Address - Phone:248-895-4737
Mailing Address - Fax:248-634-0225
Practice Address - Street 1:2975 DAVISBURG RD
Practice Address - Street 2:
Practice Address - City:DAVISBURG
Practice Address - State:MI
Practice Address - Zip Code:48350-2222
Practice Address - Country:US
Practice Address - Phone:248-895-4737
Practice Address - Fax:248-634-0225
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator