| Doctor Name: | SARAH RAE ANDRESKI |
| NPI Number: | 1104123231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | AZ4169 |
| Business Practice Address: | 325 E H St Iron Mountain, MI - 498014760 |
| Business Phone Number: | 9067743300 |
| Business Fax Number: | |
| Mailing Address: | 325 E H St, IRON MOUNTAIN |
| State: | MI |
| Postal Code: | 498014760 |
| Phone Number: | 9067743300 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2011 |
| NPI Last Update Date: | 06/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | AZ4169 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |