Healthcare Provider Details
I. General information
NPI: 1306007992
Provider Name (Legal Business Name): SARAH MARIE WOEHR PLETCHER PH.D., M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/17/2008
Last Update Date: 10/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 S CHERRY ST SUITE 712
DENVER CO
80246-2699
US
IV. Provider business mailing address
950 S CHERRY ST SUITE 712
DENVER CO
80246-2699
US
V. Phone/Fax
- Phone: 650-434-2844
- Fax:
- Phone: 650-434-2844
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | PSY3459 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0000X |
| Taxonomy | Family Psychologist |
| License Number | PSY3459 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TR0400X |
| Taxonomy | Rehabilitation Psychologist |
| License Number | PSY3459 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: