Provider Demographics
NPI:1306428446
Name:AULOV, SIVAN
Entity type:Individual
Prefix:
First Name:SIVAN
Middle Name:
Last Name:AULOV
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 1:32 CHURCH HILL RD STE 208
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1648
Mailing Address - Country:US
Mailing Address - Phone:203-300-2316
Mailing Address - Fax:
Practice Address - Street 1:32 CHURCH HILL RD STE 208
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1648
Practice Address - Country:US
Practice Address - Phone:203-300-2316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty