Provider Demographics
NPI:1548563992
Name:BRESSI, SARA (PHD, LSW)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:BRESSI
Suffix:
Gender:F
Credentials:PHD, LSW
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:BRESSI NATH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LSW
Mailing Address - Street 1:1062 E LANCASTER AVE
Mailing Address - Street 2:SUITE 5-A
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1552
Mailing Address - Country:US
Mailing Address - Phone:215-870-5649
Mailing Address - Fax:
Practice Address - Street 1:1062 E LANCASTER AVE
Practice Address - Street 2:SUITE 5-A
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1552
Practice Address - Country:US
Practice Address - Phone:215-870-5649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW123682104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker