Healthcare Provider Details

I. General information

NPI: 1104240860
Provider Name (Legal Business Name): SARAH ROPER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

M734 COUNTY ROAD 12
NAPOLEON OH
43545-7664
US

IV. Provider business mailing address

M734 COUNTY ROAD 12
NAPOLEON OH
43545-7664
US

V. Phone/Fax

Practice location:
  • Phone: 419-450-7237
  • Fax: 419-354-4977
Mailing address:
  • Phone: 419-450-7237
  • Fax: 419-354-4977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1700011
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: