Provider Demographics
NPI:1639417058
Name:SEIBRING, SARAH JEAN
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JEAN
Last Name:SEIBRING
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 1:61 SHIRLEY JEAN CT
Mailing Address - Street 2:P.O BOX 122
Mailing Address - City:CHEBANSE
Mailing Address - State:IL
Mailing Address - Zip Code:60922-2080
Mailing Address - Country:US
Mailing Address - Phone:815-405-2296
Mailing Address - Fax:
Practice Address - Street 1:973 N 6TH ST
Practice Address - Street 2:
Practice Address - City:MASCOUTAH
Practice Address - State:IL
Practice Address - Zip Code:62258-1154
Practice Address - Country:US
Practice Address - Phone:618-566-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst