MEDICARE: DR. SARAH KATHLEEN CAIRNS PSYD

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	103TC1900X	Counseling Psychologist		TX

General Provider Information

NPI Number	:	1336709807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH KATHLEEN CAIRNS PSYD

Provider Business Mailing Address
First Line	:	1050 KENNEY FORT XING UNIT 21
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2240
Country	:	US
Telephone Number	:	512-774-9920
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 S MAYS ST STE 112
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-6700
Country	:	US
Telephone Number	:	512-774-9920
Fax Number	:

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

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	06/17/2019

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