Healthcare Provider Details

I. General information

NPI: 1982790127
Provider Name (Legal Business Name): SARA DEUTSCH PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 06/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 FAIRFIELD RD
YONKERS NY
10705-1709
US

IV. Provider business mailing address

3736 HENRY HUDSON PKWY STE. 206
BRONX NY
10463-1502
US

V. Phone/Fax

Practice location:
  • Phone: 914-965-3501
  • Fax: 914-965-3329
Mailing address:
  • Phone: 914-965-3501
  • Fax: 914-965-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number009321-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: