Healthcare Provider Details

I. General information

NPI: 1437097623
Provider Name (Legal Business Name): SARAH FARRELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 ROOSEVELT HWY STE 120
COLCHESTER VT
05446-4460
US

IV. Provider business mailing address

PO BOX 4221
BURLINGTON VT
05406-4221
US

V. Phone/Fax

Practice location:
  • Phone: 802-809-1912
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SARAH FARRELL
Title or Position: OWNER
Credential:
Phone: 802-809-1912