Provider Demographics
NPI:1497120570
Name:DANIEL, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 NURSERY RD
Mailing Address - Street 2:207
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-2620
Mailing Address - Country:US
Mailing Address - Phone:727-776-4040
Mailing Address - Fax:
Practice Address - Street 1:2159 NURSERY RD
Practice Address - Street 2:207
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-2620
Practice Address - Country:US
Practice Address - Phone:727-776-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor