Provider Demographics
NPI:1912190893
Name:AUSTIN, SARAH C
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:AUSTIN
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 1:5 LOON LAKE CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:CROYDON
Mailing Address - State:NH
Mailing Address - Zip Code:03773-4401
Mailing Address - Country:US
Mailing Address - Phone:603-863-4853
Mailing Address - Fax:
Practice Address - Street 1:9 HANOVER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1312
Practice Address - Country:US
Practice Address - Phone:603-448-0126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator