Physician Compare National (NPI:1033538194)

HEALTHCARE PROVIDER: SARAH R. EDWARDS LP, PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033538194
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880811991
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140813002975
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EDWARDS
	Individual professional last name
Provider First Name	SARAH
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3309 FIECHTNER DR S
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE H
	Group Practice or individual's line 2 address
City	FARGO
	Group Practice or individual's city
State	ND
	Group Practice or individual's state
Zip Code	581032375
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2183036164
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y