| Sarah Edmonds Phd Pllc | |
|
300 E Willis St Suite E Prescott AZ 86301-3110 | |
| (928) 830-4661 | |
| Not Available |
| Full Name | Sarah Edmonds Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 300 E Willis St, Prescott, Arizona |
| Authorized Official Name and Position | Sarah Edmonds (PSYCHOLOGIST) |
| Authorized Official Contact | 9288304661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Edmonds Phd Pllc 300 E Willis St Suite E Prescott AZ 86301-3110 Ph: (928) 830-4661 | Sarah Edmonds Phd Pllc 300 E Willis St Suite E Prescott AZ 86301-3110 Ph: (928) 830-4661 |
| NPI Number | 1598150088 |
|---|---|
| Provider Enumeration Date | 04/01/2015 |
| Last Update Date | 04/01/2015 |
| Medicare PECOS PAC ID | 4587983788 |
|---|---|
| Medicare Enrollment ID | O20150511001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598150088 | NPI | - | NPPES |
| 506857 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3481 (Arizona) | Primary |
| Provider Name | Sarah A Edmonds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356531057 PECOS PAC ID: 5799878773 Enrollment ID: I20070906000865 |
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