Healthcare Provider Details

I. General information

NPI: 1427932235
Provider Name (Legal Business Name): SARAH GRIMMER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 SHOPS BLVD
WILLOW PARK TX
76087-2011
US

IV. Provider business mailing address

337 SHOPS BLVD
WILLOW PARK TX
76087-2011
US

V. Phone/Fax

Practice location:
  • Phone: 817-670-3277
  • Fax:
Mailing address:
  • Phone: 817-670-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number40537
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: