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General NPI Number Information
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NPI Number | 1821966102
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Entity Type | Organization
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Legal Business Name | SARAH LADA LLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 23 N DERR DR STE 25
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City | LEWISBURG
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State | PA
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Zip | 17837-1324
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Country | US
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Telephone | 570-437-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 69 DEERPATH LN
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City | NEW COLUMBIA
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State | PA
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Zip | 17856-9701
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Country | US
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Telephone | 484-358-3431
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. SARAH LADA
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Credential | PSYD
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Telephone | 570-437-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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