Organization Name: | SARAH DOLL |
NPI Number: | 1073980082 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH A DOLL (PSYCHOTHERAPIST) |
Mailing Address: | 2100 County Road 42 W Burnsville |
State: | MN US |
Postal Code: | 553376913 |
Phone Number: | 6123083575 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |