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NPI Code Detail

MEDICARE: SARA ELLEN MARINUCCI MA, LMFT

MEDICARE: SARA ELLEN MARINUCCI MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMF000500PA

General Provider Information

NPI Number : 1518072339
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ELLEN MARINUCCI MA, LMFT
Provider Business Mailing Address
First Line : 505 HISTORIC DR
Second Line :
City : STRASBURG
State : PA
Zip : 17579-1479
Country : US
Telephone Number : 717-368-7646
Fax Number :
Provider Business Practice Location Address
First Line : 505 HISTORIC DR
Second Line :
City : STRASBURG
State : PA
Zip : 17579-1479
Country : US
Telephone Number : 717-687-0313
Fax Number : 717-687-3604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/28/2025

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