Healthcare Provider Details

I. General information

NPI: 1255822516
Provider Name (Legal Business Name): SARAH BRYSKI-HAMRICK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2629 BROWN ST APT 411
PHILADELPHIA PA
19130-1858
US

IV. Provider business mailing address

1777 SENTRY PARKWAY WEST, VEVA 12, SUITE 300
BLUE BELL PA
19422
US

V. Phone/Fax

Practice location:
  • Phone: 609-330-5861
  • Fax:
Mailing address:
  • Phone: 215-767-7096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010402
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: