Provider Demographics
NPI:1518614262
Name:ABDEL-WAHAB-O'BRIEN, SARAH (LLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ABDEL-WAHAB-O'BRIEN
Suffix:
Gender:X
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1549 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-9578
Mailing Address - Country:US
Mailing Address - Phone:937-508-5236
Mailing Address - Fax:
Practice Address - Street 1:704 N CONGRESS ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-3318
Practice Address - Country:US
Practice Address - Phone:734-221-3986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6362009477103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist