Provider Demographics
NPI:1730466566
Name:KLINGEMANN, SARA D
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:D
Last Name:KLINGEMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 24TH AVE SW
Mailing Address - Street 2:APT B
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3931
Mailing Address - Country:US
Mailing Address - Phone:813-857-3370
Mailing Address - Fax:
Practice Address - Street 1:2227 W LINDSEY ST
Practice Address - Street 2:STE 1550
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4095
Practice Address - Country:US
Practice Address - Phone:405-360-2133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health