Provider Demographics
NPI:1952944050
Name:OWEN, SARA ANN
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ANN
Last Name:OWEN
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 1:1410 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-4922
Mailing Address - Country:US
Mailing Address - Phone:563-554-3781
Mailing Address - Fax:
Practice Address - Street 1:312 IOWA AVE
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-3836
Practice Address - Country:US
Practice Address - Phone:563-554-3781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor