Healthcare Provider Details

I. General information

NPI: 1104450394
Provider Name (Legal Business Name): SARAH ANN HAIDER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E ORCHARD RD STE 305
CENTENNIAL CO
80111-1734
US

IV. Provider business mailing address

7120 E ORCHARD RD STE 305
CENTENNIAL CO
80111-1734
US

V. Phone/Fax

Practice location:
  • Phone: 303-747-5855
  • Fax:
Mailing address:
  • Phone: 303-747-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY24600
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.004811
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY24600
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY.004811
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY24600
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY.004811
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: