Doctor Name: | MS. SARA LYNN MATHERS |
NPI Number: | 1356594428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1874901 |
Business Practice Address: | 7 Shepard Avenue Whitesboro, NY - 134922639 |
Business Phone Number: | 3157948920 |
Business Fax Number: | |
Mailing Address: | 7 Shepherd Ave, WHITESBORO |
State: | NY |
Postal Code: | 134922639 |
Phone Number: | 3157948920 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2008 |
NPI Last Update Date: | 11/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 1874901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |