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NPI Code Detail

MEDICARE: DR. SARAH BREITBACH SNEED PH.D.

MEDICARE: DR. SARAH BREITBACH SNEED 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
1103TC0700XClinical PsychologistPSY 18117CA
2103TC0700XClinical Psychologist0810004673VA

General Provider Information

NPI Number : 1578688818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH BREITBACH SNEED PH.D.
Provider Business Mailing Address
First Line : 3420 PUMP RD
Second Line : #243
City : RICHMOND
State : VA
Zip : 23233-1111
Country : US
Telephone Number : 804-378-2083
Fax Number :
Provider Business Practice Location Address
First Line : 301 CONCOURSE BLVD
Second Line : SUITE 227
City : GLEN ALLEN
State : VA
Zip : 23059-5643
Country : US
Telephone Number : 804-378-2083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 08/23/2013

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