MEDICARE: DR. SARAH LYNN HART PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	LP5592	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134257223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH LYNN HART PH.D.

Provider Business Mailing Address
First Line	:	475 CLEVELAND AVE N STE 200
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-5053
Country	:	US
Telephone Number	:	612-802-9164
Fax Number	:	888-899-1514

Provider Business Practice Location Address
First Line	:	475 CLEVELAND AVE N STE 200
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-5053
Country	:	US
Telephone Number	:	612-802-9164
Fax Number	:	888-899-1514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	12/04/2023

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