Provider Demographics
NPI:1922580349
Name:ALIZADEH, SARAH
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:ALIZADEH
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:FLAT 2 BUSHELY COTTAGE
Mailing Address - Street 2:HIGH ST
Mailing Address - City:EASTRY
Mailing Address - State:KENT
Mailing Address - Zip Code:CT130HE
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BROOK HOUSE
Practice Address - Street 2:
Practice Address - City:WHITSTABLE
Practice Address - State:KENT
Practice Address - Zip Code:CT53DD
Practice Address - Country:GB
Practice Address - Phone:300-041-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-01
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1174431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical