Provider Demographics
NPI:1679339402
Name:KWAN, SARI
Entity type:Individual
Prefix:
First Name:SARI
Middle Name:
Last Name:KWAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12157 W CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2100
Mailing Address - Country:US
Mailing Address - Phone:720-443-1021
Mailing Address - Fax:626-350-0756
Practice Address - Street 1:12157 W CEDAR DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2100
Practice Address - Country:US
Practice Address - Phone:720-443-1021
Practice Address - Fax:626-350-0756
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling