National Provider Identifier

Sarah Detty

Sarah Detty is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 833-3622.

NPI 1275205619Buffalo, NYCounselor

Profile Overview

NPI
1275205619
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
October 04, 2021
Last Updated
October 22, 2021

Practice Location

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Phone: (716) 833-3622

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1275205619
Entity Type
Individual
Last Name
Detty
First Name
Sarah
Provider Other Last Name
Davis
Provider Other First Name
Sarah
Provider Other Last Name Type Code
1
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
3020 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-2814
Practice Country
US
Practice Phone
(716) 833-3622
Enumeration Date
October 04, 2021
Last Updated
October 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)