Healthcare Provider Details

I. General information

NPI: 1780833376
Provider Name (Legal Business Name): SARAH GELLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 04/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 CHESTNUT ST
MEADVILLE PA
16335-4404
US

IV. Provider business mailing address

435 CHESTNUT ST
MEADVILLE PA
16335-4404
US

V. Phone/Fax

Practice location:
  • Phone: 814-807-0861
  • Fax: 814-807-0863
Mailing address:
  • Phone: 503-412-6433
  • Fax: 503-552-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: