MEDICARE: SARAH NOEL VAGHARI

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	B1-0001078	DE
2	103TC0700X	Clinical Psychologist	PS018230	PA

General Provider Information

NPI Number	:	1528650603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NOEL VAGHARI

Provider Business Mailing Address
First Line	:	116 MOORE RD
Second Line	:
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-1831
Country	:	US
Telephone Number	:	484-352-3103
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 MOORE RD
Second Line	:
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-1831
Country	:	US
Telephone Number	:	484-352-3103
Fax Number	:

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

Provider Enumeration Date	:	02/09/2021
Last Update Date	:	01/02/2026

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