MEDICARE: DR. SARA ACKER LEO PSY.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	103TB0200X	Cognitive & Behavioral Psychologist
2	103T00000X	Psychologist	9040	MA
3	103TH0004X	Health Psychologist
4	103TC0700X	Clinical Psychologist	9040	MA

General Provider Information

NPI Number	:	1831213313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA ACKER LEO PSY.D

Provider Business Mailing Address
First Line	:	45 WALDEN ST
Second Line	:
City	:	CONCORD
State	:	MA
Zip	:	01742-2533
Country	:	US
Telephone Number	:	617-444-9198
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 WALDEN ST
Second Line	:
City	:	CONCORD
State	:	MA
Zip	:	01742-2533
Country	:	US
Telephone Number	:	617-444-9198
Fax Number	:

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	01/02/2026

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