Provider Demographics
NPI:1477392983
Name:GARCIA, SASHARY SUSANNA
Entity type:Individual
Prefix:MRS
First Name:SASHARY
Middle Name:SUSANNA
Last Name:GARCIA
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 1:3720 WALTER AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-2138
Mailing Address - Country:US
Mailing Address - Phone:216-370-0780
Mailing Address - Fax:
Practice Address - Street 1:3720 WALTER AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2138
Practice Address - Country:US
Practice Address - Phone:216-370-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services