Provider Demographics
NPI:1972291409
Name:BOHNER, SARA (MS, BSL)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BOHNER
Suffix:
Gender:F
Credentials:MS, BSL
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:BOHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:895 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-2415
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 N 8TH ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1446
Practice Address - Country:US
Practice Address - Phone:570-523-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH006278101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor