Healthcare Provider Details
I. General information
NPI: 1902091473
Provider Name (Legal Business Name): SARAH BHARIER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/07/2007
Last Update Date: 08/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1904 FRANKLIN ST STE 300
OAKLAND CA
94612-2921
US
IV. Provider business mailing address
3301 E 12TH ST SUITE 259
OAKLAND CA
94601-3424
US
V. Phone/Fax
- Phone: 510-853-4271
- Fax:
- Phone: 510-853-4271
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | PSY26083 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 26083 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: