MEDICARE: SARAH DIHMES PH.D. BCIA

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	025072	NY
2	103TC0700X	Clinical Psychologist	0810008534	VA
3	103TC0700X	Clinical Psychologist	PSY28423	CA

General Provider Information

NPI Number	:	1619162864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DIHMES PH.D. BCIA

Provider Business Mailing Address
First Line	:	412 LIBBIE AVE STE 104
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2658
Country	:	US
Telephone Number	:	443-722-1208
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 LIBBIE AVE STE 104
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2658
Country	:	US
Telephone Number	:	443-722-1208
Fax Number	:

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

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	01/30/2025

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