Provider Demographics
NPI:1659708717
Name:DINAN, SARAH KATHERINE (MS, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHERINE
Last Name:DINAN
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2153
Mailing Address - Country:US
Mailing Address - Phone:716-622-0919
Mailing Address - Fax:
Practice Address - Street 1:25 E CENTER ST
Practice Address - Street 2:SUITE 4
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2254
Practice Address - Country:US
Practice Address - Phone:610-504-7776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007150101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional