Healthcare Provider Details

I. General information

NPI: 1891775458
Provider Name (Legal Business Name): DANA JANETTE SARI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 OFFICE SQUARE LN STE B102
VIRGINIA BEACH VA
23462-3650
US

IV. Provider business mailing address

317 OFFICE SQUARE LN STE B102
VIRGINIA BEACH VA
23462-3650
US

V. Phone/Fax

Practice location:
  • Phone: 757-703-7708
  • Fax: 757-732-0953
Mailing address:
  • Phone: 757-703-7708
  • Fax: 757-732-0953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number08100003006
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number08100003006
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: