NPI 1407054919 · live from the CMS NPI Registry
Sara Brandt, Ph.D,, M.S., LMFT
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1407054919, active.
NPI record
| NPI | 1407054919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1255 S Michigan Ave, Suite 106, Chicago, IL 60605 |
| Practice phone | 630-290-3384 |
| Mailing address | 1255 S Michigan Ave, Suite 1911, Chicago, IL 60605 |
| Enumerated | July 5, 2007 |
| Last updated | January 10, 2016 |
| Sole proprietor | Yes |
| Other names | Sara Brandt |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166-000532 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.