Doctor Name: | MS. ROBERTA SAWYER |
NPI Number: | 1386766236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | LMFT-30 |
Business Practice Address: | 220 Rivers St. Suite 202 Ketchum, ID - 83340 |
Business Phone Number: | 2087263608 |
Business Fax Number: | 2087263608 |
Mailing Address: | Po Box 4919, KETCHUM |
State: | ID |
Postal Code: | 833404919 |
Phone Number: | 2087263608 |
Fax Number: | 2087263608 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMFT-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |