Provider Demographics
NPI:1134572761
Name:MAYNARD, SARAH (LCAT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MAYNARD
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 CAMDEN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-2115
Mailing Address - Country:US
Mailing Address - Phone:585-490-7303
Mailing Address - Fax:
Practice Address - Street 1:2376 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3032
Practice Address - Country:US
Practice Address - Phone:585-430-9877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor