Provider Demographics
NPI:1215944335
Name:MAHR, SYLVIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:
Last Name:MAHR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:JESSOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:MT
Mailing Address - Zip Code:59828-0196
Mailing Address - Country:US
Mailing Address - Phone:406-370-8341
Mailing Address - Fax:
Practice Address - Street 1:258 ROOSEVELT LN
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3326
Practice Address - Country:US
Practice Address - Phone:406-370-8341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical