Provider Demographics
NPI:1477311256
Name:RENTZ, SARAH (MA, MAT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RENTZ
Suffix:
Gender:F
Credentials:MA, MAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1778 KECKS RD
Mailing Address - Street 2:
Mailing Address - City:BREINIGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18031-2218
Mailing Address - Country:US
Mailing Address - Phone:610-392-0946
Mailing Address - Fax:
Practice Address - Street 1:1011 BROOKSIDE RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9020
Practice Address - Country:US
Practice Address - Phone:610-392-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health