Doctor Name: | MS. SARAH ANNE URBAN |
NPI Number: | 1336320597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S |
License Number: | |
Business Practice Address: | 9401 S 51st Ave Laveen, AZ - 853392710 |
Business Phone Number: | 6022379100 |
Business Fax Number: | 6022379135 |
Mailing Address: | 9401 S 51st Avenue, LAVEEN |
State: | AZ |
Postal Code: | 85339 |
Phone Number: | 6022379100 |
Fax Number: | 6022379135 |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 11/16/2007 |
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: |