MEDICARE: DR. SARA SZCZEPANSKI PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588413579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA SZCZEPANSKI PHD

Provider Business Mailing Address
First Line	:	522 W RIVERSIDE AVE # 8470
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	360-559-0205
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 1ST AVE N STE 306
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2301
Country	:	US
Telephone Number	:	360-559-0205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	04/08/2026

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