Provider Demographics
NPI:1861824666
Name:PUGLIESE, SARAH L (MMT, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:PUGLIESE
Suffix:
Gender:F
Credentials:MMT, MT-BC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:ACCARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:297 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2531
Mailing Address - Country:US
Mailing Address - Phone:570-878-3336
Mailing Address - Fax:
Practice Address - Street 1:297 GROVE ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2531
Practice Address - Country:US
Practice Address - Phone:570-878-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ10646225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist