Provider Demographics
NPI:1508171349
Name:GILMAN, SARA G (MFT)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:G
Last Name:GILMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:GILMAN
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, LMFT
Mailing Address - Street 1:PO BOX 1037
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-1037
Mailing Address - Country:US
Mailing Address - Phone:619-289-8482
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1037
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92067-1037
Practice Address - Country:US
Practice Address - Phone:619-289-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMH21586106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist