MEDICARE: DR. SARAH SARETTE ED.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	54199	NH

General Provider Information

NPI Number	:	1386265668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH SARETTE ED.D

Provider Business Mailing Address
First Line	:	PO BOX 363
Second Line	:
City	:	TWIN MOUNTAIN
State	:	NH
Zip	:	03595-0363
Country	:	US
Telephone Number	:	603-290-2758
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 TUTTLEBROOK RD
Second Line	:
City	:	TWIN MOUNTAIN
State	:	NH
Zip	:	03595-2047
Country	:	US
Telephone Number	:	603-290-2758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	04/28/2020

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