Provider Demographics
NPI:1881292464
Name:SAXMAN, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SAXMAN
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 1:7829 S YALE AVE APT A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-9051
Mailing Address - Country:US
Mailing Address - Phone:231-239-3017
Mailing Address - Fax:
Practice Address - Street 1:7829 S YALE AVE APT A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-9051
Practice Address - Country:US
Practice Address - Phone:231-239-3017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health