Healthcare Provider Details

I. General information

NPI: 1144658006
Provider Name (Legal Business Name): SARAH HALPERN J.D. MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2013
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6012 RIDGE AVE
PHILADELPHIA PA
19128-1643
US

IV. Provider business mailing address

29 RADCLIFF RD
BALA CYNWYD PA
19004-2643
US

V. Phone/Fax

Practice location:
  • Phone: 215-487-1330
  • Fax:
Mailing address:
  • Phone: 215-487-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: