Provider Demographics
NPI:1780933655
Name:HEINSOHN, SARAH KATHLYN (BA/SPED)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHLYN
Last Name:HEINSOHN
Suffix:
Gender:F
Credentials:BA/SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 VINEYARD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2330
Mailing Address - Country:US
Mailing Address - Phone:845-691-8346
Mailing Address - Fax:
Practice Address - Street 1:167 VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2330
Practice Address - Country:US
Practice Address - Phone:845-691-8346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist