Provider Demographics
NPI:1619779998
Name:HERSHEY, SARAH (MA, PPS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HERSHEY
Suffix:
Gender:F
Credentials:MA, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-3262
Mailing Address - Country:US
Mailing Address - Phone:831-439-9555
Mailing Address - Fax:
Practice Address - Street 1:555 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-3262
Practice Address - Country:US
Practice Address - Phone:831-439-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool