MEDICARE: DR. SARA GARDE 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	103TC0700X	Clinical Psychologist	PSY10001256	MA

General Provider Information

NPI Number	:	1417787383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA GARDE PSYD

Provider Business Mailing Address
First Line	:	53 ANGELICA AVE
Second Line	:
City	:	MATTAPOISETT
State	:	MA
Zip	:	02739-2287
Country	:	US
Telephone Number	:	774-929-0858
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 COLLINS AVE STE 201-A
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-3755
Country	:	US
Telephone Number	:	781-551-0999
Fax Number	:

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

Provider Enumeration Date	:	08/06/2024
Last Update Date	:	01/27/2026

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