Healthcare Provider Details

I. General information

NPI: 1730012444
Provider Name (Legal Business Name): SARAH EBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42331 GRISWOLD RD
ELYRIA OH
44035-2121
US

IV. Provider business mailing address

16444 HAMPTON CHASE
STRONGSVILLE OH
44136-6216
US

V. Phone/Fax

Practice location:
  • Phone: 440-284-1050
  • Fax:
Mailing address:
  • Phone: 440-284-1050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number01673
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: