Healthcare Provider Details

I. General information

NPI: 1437035003
Provider Name (Legal Business Name): SARAH LISTBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 772
LOOMIS CA
95650-0772
US

IV. Provider business mailing address

720 SUNRISE AVE
ROSEVILLE CA
95661-4516
US

V. Phone/Fax

Practice location:
  • Phone: 916-626-9683
  • Fax:
Mailing address:
  • Phone: 916-218-0980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: