Provider Demographics
NPI:1104629922
Name:FISHBEIN, SARAH AHSIYAH APPLEBAUM
Entity type:Individual
Prefix:
First Name:SARAH AHSIYAH
Middle Name:APPLEBAUM
Last Name:FISHBEIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5634 CHARLIE CHAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2307
Mailing Address - Country:US
Mailing Address - Phone:210-900-2713
Mailing Address - Fax:
Practice Address - Street 1:5634 CHARLIE CHAN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2307
Practice Address - Country:US
Practice Address - Phone:210-900-2713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1050711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical