Provider Demographics
NPI:1326591587
Name:CAMMOUN-MYERS, SARAH (MA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CAMMOUN-MYERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:CAMMOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2900 100TH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3851
Mailing Address - Country:US
Mailing Address - Phone:319-240-5505
Mailing Address - Fax:515-217-4892
Practice Address - Street 1:2900 100TH ST STE 207
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3851
Practice Address - Country:US
Practice Address - Phone:319-240-5505
Practice Address - Fax:515-217-4892
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-24
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA083014101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health