Provider Demographics
NPI:1013019611
Name:STERLING, SARA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:L
Last Name:STERLING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14502 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2075
Mailing Address - Country:US
Mailing Address - Phone:813-963-5771
Mailing Address - Fax:866-371-3254
Practice Address - Street 1:14502 N DALE MABRY HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2075
Practice Address - Country:US
Practice Address - Phone:813-963-5771
Practice Address - Fax:866-371-3254
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY003292103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75253OtherBLUE CROSS BLUE SHIELD