Provider Demographics
NPI:1407180409
Name:MILLER, SARA FRYER (LMFT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:FRYER
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LINNAE
Other - Last Name:FRYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 ALAMEDA DE LAS PULGAS
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1269
Mailing Address - Country:US
Mailing Address - Phone:408-459-9803
Mailing Address - Fax:
Practice Address - Street 1:2542 S BASCOM AVE STE 110
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008
Practice Address - Country:US
Practice Address - Phone:408-559-3403
Practice Address - Fax:408-559-3158
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health