MEDICARE: SARAH FARRELL MA

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	047.0133707	VT
2	101YM0800X	Mental Health Counselor	MHC-1137	HI

General Provider Information

NPI Number	:	1558148981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH FARRELL MA

Provider Business Mailing Address
First Line	:	PO BOX 4221
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05406-4221
Country	:	US
Telephone Number	:	802-922-5717
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 EASTWOOD DR APT 301
Second Line	:
City	:	SOUTH BURLINGTON
State	:	VT
Zip	:	05403-4519
Country	:	US
Telephone Number	:	802-922-5717
Fax Number	:

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

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	12/28/2025

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