Sara Lynn Bannon
NPI #1114209699 in Great Barrington, Massachusetts
Provider Information
- NPI Number
- 1114209699
- Entity Type
- Individual
- Name
- Sara Lynn Bannon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Sep 12, 2011
- Last Updated
- Sep 12, 2011
Practice Location
- Address
- 19 FAIRVIEW TER
- City
- Great Barrington
- State
- Massachusetts
- ZIP Code
- 01230-1264
- Phone
- (413) 329-4840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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