Provider Demographics
NPI:1386047983
Name:REISER, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:REISER
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 1:1549 S GALENA WAY
Mailing Address - Street 2:APT. 1628
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80247-3166
Mailing Address - Country:US
Mailing Address - Phone:715-701-1305
Mailing Address - Fax:
Practice Address - Street 1:1549 S GALENA WAY
Practice Address - Street 2:APT. 1628
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80247-3166
Practice Address - Country:US
Practice Address - Phone:715-701-1305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-27
Last Update Date:2014-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health