Provider Demographics
NPI:1497137137
Name:DANITZ-STEINHARDT, SARA B (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:B
Last Name:DANITZ-STEINHARDT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:B
Other - Last Name:DANITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:150 S HUNTINGTON AVE RM 14A-78
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4817
Mailing Address - Country:US
Mailing Address - Phone:857-364-6854
Mailing Address - Fax:
Practice Address - Street 1:150 S HUNTINGTON AVE RM 14A-78
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:857-364-6854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01699103TC0700X
MA11190103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical