Provider Demographics
NPI:1891859716
Name:WHITMARSH, SARAH ELISABETH (CEIS)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELISABETH
Last Name:WHITMARSH
Suffix:
Gender:F
Credentials:CEIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:BROCTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302
Mailing Address - Country:US
Mailing Address - Phone:508-579-8407
Mailing Address - Fax:
Practice Address - Street 1:115 W CHESTNUT
Practice Address - Street 2:SOUTH BAY MENTAL HEALTH
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-559-0473
Practice Address - Fax:508-427-5361
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program