Provider Demographics
NPI:1912400458
Name:SAWYER, FALICIA A
Entity Type:Individual
Prefix:
First Name:FALICIA
Middle Name:A
Last Name:SAWYER
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 1:2826 SQUIRREL DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2765
Mailing Address - Country:US
Mailing Address - Phone:302-690-8601
Mailing Address - Fax:
Practice Address - Street 1:2826 SQUIRREL DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2765
Practice Address - Country:US
Practice Address - Phone:302-690-8601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health