MEDICARE: MS. SARAH PARKER 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

General Provider Information

NPI Number	:	1164617163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH PARKER PH.D.

Provider Business Mailing Address
First Line	:	7 W 36TH ST
Second Line	:	15TH FL.
City	:	NEW YORK
State	:	NY
Zip	:	10018-7911
Country	:	US
Telephone Number	:	212-203-9792
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 W 36TH ST
Second Line	:	15TH FL.
City	:	NEW YORK
State	:	NY
Zip	:	10018-7911
Country	:	US
Telephone Number	:	212-203-9792
Fax Number	:

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

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	02/06/2012

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Directions to “ MS. SARAH PARKER PH.D.” Practice Location

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