Healthcare Provider Details

I. General information

NPI: 1124964499
Provider Name (Legal Business Name): SARAH ELLIOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N 4TH ST
STEUBENVILLE OH
43952-2022
US

IV. Provider business mailing address

611 N 4TH ST
STEUBENVILLE OH
43952-1935
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-3767
  • Fax:
Mailing address:
  • Phone: 740-283-3767
  • Fax: 740-283-8930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSP604
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: