Provider Demographics
NPI:1346075496
Name:WITTMAN, SARAH BETH (MS, S-MFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:WITTMAN
Suffix:
Gender:F
Credentials:MS, S-MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 E 26TH ST UNIT 203
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-3509
Mailing Address - Country:US
Mailing Address - Phone:816-305-0790
Mailing Address - Fax:
Practice Address - Street 1:127 W 10TH ST STE 103
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64105-1981
Practice Address - Country:US
Practice Address - Phone:816-416-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty