Takla, Sara
Takla, Sara is an individual health care provider with primary practice located at 921 Commons Way , Princeton NJ 08540-1531. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Takla, Sara can be contacted via phone (609) 495-5940.Contact Information
Primary practice address
921 Commons Way
Princeton NJ 08540-1531
Phone: (609) 495-5940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05788200 | New Jersey |
Profile Details
| NPI number | 1245682699 |
|---|---|
| LBN Legal business name | Takla, Sara |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Mar 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245682699 | NPPES |
| New Jersey | MEDICAID | 0023701 |
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