Healthcare Provider Details

I. General information

NPI: 1306674346
Provider Name (Legal Business Name): SARAH REED TARLECKI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH REED ROSECKY

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 N POTTSTOWN PIKE FL 3
EXTON PA
19341-2246
US

IV. Provider business mailing address

356 N POTTSTOWN PIKE FL 3
EXTON PA
19341-2246
US

V. Phone/Fax

Practice location:
  • Phone: 215-469-1798
  • Fax: 610-273-5598
Mailing address:
  • Phone: 215-469-1798
  • Fax: 610-273-5598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS020386
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: