Healthcare Provider Details

I. General information

NPI: 1861729543
Provider Name (Legal Business Name): SARAH SIFRAN-MCCLELLAN MS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 03/18/2020
Certification Date: 03/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 S ASPEN AVE STE C
BROKEN ARROW OK
74012-4803
US

IV. Provider business mailing address

4305 S BIRCH PL
BROKEN ARROW OK
74011-3611
US

V. Phone/Fax

Practice location:
  • Phone: 918-629-5683
  • Fax: 918-494-9870
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: