Provider Demographics
NPI:1528361664
Name:KULLESEID, SARA INGRI (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:INGRI
Last Name:KULLESEID
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:101 N MERION AVE
Mailing Address - Street 2:BRYN MAWR COLLEGE COUNSELING CENTER
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2859
Mailing Address - Country:US
Mailing Address - Phone:610-526-7360
Mailing Address - Fax:610-526-7365
Practice Address - Street 1:101 N MERION AVE
Practice Address - Street 2:BRYN MAWR COLLEGE COUNSELING CENTER
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2859
Practice Address - Country:US
Practice Address - Phone:610-526-7360
Practice Address - Fax:610-526-7365
Is Sole Proprietor?:No
Enumeration Date:2010-12-12
Last Update Date:2010-12-12
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Provider Licenses
StateLicense IDTaxonomies
PAMD-4250602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry