Healthcare Provider Details

I. General information

NPI: 1427872100
Provider Name (Legal Business Name): SARAH DYSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 TERRY DR STE 17
NEWTOWN PA
18940-1838
US

IV. Provider business mailing address

157 INLAND RD
IVYLAND PA
18974-1440
US

V. Phone/Fax

Practice location:
  • Phone: 267-626-5556
  • Fax:
Mailing address:
  • Phone: 267-626-5556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC017858
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: