Provider Demographics
NPI:1932223211
Name:SEGAL, SARA (MS)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:SEGAL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:POLLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:41 SHEPARD ST
Mailing Address - Street 2:APT #2
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3350
Mailing Address - Country:US
Mailing Address - Phone:617-699-5581
Mailing Address - Fax:
Practice Address - Street 1:569 SALEM END RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5513
Practice Address - Country:US
Practice Address - Phone:508-626-9961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health