Provider Demographics
NPI:1720058696
Name:FRENCH, SARA ELIZABETH
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:FRENCH
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 1:208 E BAYFRONT PKWY SUITE 200C
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-2413
Mailing Address - Country:US
Mailing Address - Phone:814-871-6333
Mailing Address - Fax:814-871-6335
Practice Address - Street 1:208 E BAYFRONT PKWY SUITE 200C
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-2413
Practice Address - Country:US
Practice Address - Phone:814-871-6333
Practice Address - Fax:814-871-6335
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
1628150OtherHIGHMARK KHPW
PA62303OtherCIGNA
PA515237OtherVALUE OPTIONS
PA2254929OtherCOMP PSYCH
PA00000OtherAETNA
786984-000OtherMAGELLAN
PA22771OtherMANAGED HEALTH NETWORK
PA706365OtherUPMC COMMERCIAL
PA38520OtherTRICARE