Provider Demographics
NPI:1972325868
Name:WILLIAMS, SARAH L
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:WILLIAMS
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 1:205 VERNON AVE APT 220
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4368
Mailing Address - Country:US
Mailing Address - Phone:860-817-9839
Mailing Address - Fax:
Practice Address - Street 1:205 VERNON AVE APT 220
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-4368
Practice Address - Country:US
Practice Address - Phone:860-817-9839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician