Doctor Name: | SARAH MADRID |
NPI Number: | 1184082497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1 Flashes Ave Willard, OH - 448909394 |
Business Phone Number: | 4199350181 |
Business Fax Number: | |
Mailing Address: | 1 Flashes Ave, WILLARD |
State: | OH |
Postal Code: | 448909394 |
Phone Number: | 4199350181 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2016 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |