MEDICARE: SARAH NUCHE PH. 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	103TC2200X	Clinical Child & Adolescent Psychologist	24785	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518981273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NUCHE PH. D

Provider Business Mailing Address
First Line	:	6350 LBJ FREEWAY
Second Line	:	SUITE 254
City	:	DALLAS
State	:	TX
Zip	:	75240-6462
Country	:	US
Telephone Number	:	972-490-8833
Fax Number	:	972-490-8834

Provider Business Practice Location Address
First Line	:	6350 LBJ FREEWAY
Second Line	:	SUITE 254
City	:	DALLAS
State	:	TX
Zip	:	75240-6462
Country	:	US
Telephone Number	:	972-490-8833
Fax Number	:	972-490-8834

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	05/04/2020

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