| Doctor Name: | SARAH EICKHOLT |
| NPI Number: | 1003230087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.S. |
| License Number: | |
| Business Practice Address: | 3281 Upton Ave Toledo, OH - 436135109 |
| Business Phone Number: | 4196718866 |
| Business Fax Number: | |
| Mailing Address: | 29191 Fox Creek Dr Apt 3b, PERRYSBURG |
| State: | OH |
| Postal Code: | 435517429 |
| Phone Number: | 4192661237 |
| Fax Number: | |
| NPI Enumeration Date: | 02/11/2014 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |