Provider Demographics
NPI:1790332526
Name:DELLI COLLI, SARAH KATHERINE (LCAT, ATR-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:DELLI COLLI
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28-14 31ST ST APT 507
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3631
Mailing Address - Country:US
Mailing Address - Phone:704-430-9269
Mailing Address - Fax:
Practice Address - Street 1:28-14 31ST ST APT 507
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3631
Practice Address - Country:US
Practice Address - Phone:704-430-9269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY002990-01221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program