Healthcare Provider Details

I. General information

NPI: 1134329139
Provider Name (Legal Business Name): AUDRA K. SACHER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8140 ASHTON AVE SUITE 200
MANASSAS VA
20109-2894
US

IV. Provider business mailing address

820 MONCURE ST
FREDERICKSBURG VA
22401-5417
US

V. Phone/Fax

Practice location:
  • Phone: 703-330-9933
  • Fax:
Mailing address:
  • Phone: 703-678-9039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810003641
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: