Provider Demographics
NPI:1487382792
Name:GRAPSKI, SARA (NCSP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GRAPSKI
Suffix:
Gender:F
Credentials:NCSP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:NICHOLLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-4518
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 TIMBER LN
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-4518
Practice Address - Country:US
Practice Address - Phone:585-721-9622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-13
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2307429103TS0200X
TX71858103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool