Provider Demographics
NPI:1497511133
Name:SLAGER, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SLAGER
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 1:26 WELD HILL ST # 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4127
Mailing Address - Country:US
Mailing Address - Phone:781-679-4659
Mailing Address - Fax:
Practice Address - Street 1:26 WELD HILL ST # 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4127
Practice Address - Country:US
Practice Address - Phone:781-679-4659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician