Provider Demographics
NPI:1952596587
Name:KOPIT-OLSON, SARA SIENNA
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:SIENNA
Last Name:KOPIT-OLSON
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 1:3860 MIDDLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4716
Mailing Address - Country:US
Mailing Address - Phone:650-494-1200
Mailing Address - Fax:650-494-1243
Practice Address - Street 1:3860 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-4716
Practice Address - Country:US
Practice Address - Phone:650-494-1200
Practice Address - Fax:650-494-1243
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health