Provider Demographics
NPI:1710465331
Name:MOSCHO, SARAH RICAU
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:RICAU
Last Name:MOSCHO
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 1:104 ESSEX RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2548
Mailing Address - Country:US
Mailing Address - Phone:985-264-6402
Mailing Address - Fax:
Practice Address - Street 1:104 ESSEX RD
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2548
Practice Address - Country:US
Practice Address - Phone:985-264-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health