Provider Demographics
NPI:1922429257
Name:SARVER, THOMAS EDWARD (LMFT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:EDWARD
Last Name:SARVER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055
Mailing Address - Country:US
Mailing Address - Phone:610-838-2880
Mailing Address - Fax:610-838-2781
Practice Address - Street 1:1422 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055
Practice Address - Country:US
Practice Address - Phone:610-838-2880
Practice Address - Fax:610-838-2781
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000762106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist