Doctor Name: | MRS. SARAH C CHILDRESS |
NPI Number: | 1003907130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED |
License Number: | 0803000056 |
Business Practice Address: | 801 S Loudoun Street Winchester, VA - 22601 |
Business Phone Number: | 5406675431 |
Business Fax Number: | 5406672655 |
Mailing Address: | 801 S Loudoun Street, WINCHESTER |
State: | VA |
Postal Code: | 22601 |
Phone Number: | 5406675431 |
Fax Number: | 5406672655 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 0803000056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |