Healthcare Provider Details

I. General information

NPI: 1851687883
Provider Name (Legal Business Name): SARAH ELIZABETH RICHARDS NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 06/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 LEE RD SUITE 213
WINTER PARK FL
32789-1859
US

IV. Provider business mailing address

1950 LEE RD SUITE 213
WINTER PARK FL
32789-1859
US

V. Phone/Fax

Practice location:
  • Phone: 407-580-8026
  • Fax: 407-644-2112
Mailing address:
  • Phone: 407-580-8026
  • Fax: 407-644-2112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: