Provider Demographics
NPI:1669900957
Name:REED, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:REED
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 1:2293 MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WATSONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17777-7947
Mailing Address - Country:US
Mailing Address - Phone:724-549-4082
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE # MC26-20
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-214-2637
Practice Address - Fax:570-214-7342
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS