Provider Demographics
NPI:1285129346
Name:CAMBRIDGE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CAMBRIDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20600 MOUNTAIN VISTA DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8866
Mailing Address - Country:US
Mailing Address - Phone:707-372-1021
Mailing Address - Fax:
Practice Address - Street 1:1600 OMALLEY RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-7301
Practice Address - Country:US
Practice Address - Phone:907-349-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health