Provider Demographics
NPI:1952291288
Name:GAMMOH, SARAH SULTAN SULIEMAN
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SULTAN SULIEMAN
Last Name:GAMMOH
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 1:1655 FORT MYER DR STE 330
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-3108
Mailing Address - Country:US
Mailing Address - Phone:301-742-2282
Mailing Address - Fax:
Practice Address - Street 1:1655 FORT MYER DR STE 330
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-3108
Practice Address - Country:US
Practice Address - Phone:301-742-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704018078101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health