| Sarah Fetter, Ph.d., Pllc | |
|
2955 100th St Ste 4 Urbandale IA 50322-5500 | |
| (515) 400-0606 | |
| (515) 405-4242 |
| Full Name | Sarah Fetter, Ph.d., Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2955 100th St Ste 4, Urbandale, Iowa |
| Authorized Official Name and Position | Sarah Fetter (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5154000606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Fetter, Ph.d., Pllc 2955 100th St Ste 4 Urbandale IA 50322-5500 Ph: (515) 400-0606 | Sarah Fetter, Ph.d., Pllc 2955 100th St Ste 4 Urbandale IA 50322-5500 Ph: (515) 400-0606 |
| NPI Number | 1831801588 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0042680605 |
|---|---|
| Medicare Enrollment ID | O20221223001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831801588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sarah Rebecca Fetter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821575663 PECOS PAC ID: 2466822903 Enrollment ID: I20221228001195 |
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