Basic Information
| Provider Information | |||||||||
| NPI: | 1972663540 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HORROCKS | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | LYNNE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21 GLEN AVE | ||||||||
| Address2: | |||||||||
| City: | CHELMSFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018242858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782560667 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21 GLEN AVE | ||||||||
| Address2: | |||||||||
| City: | CHELMSFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018242858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782560667 | ||||||||
| FaxNumber: | 9784536767 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 07/26/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.