Provider Demographics
NPI:1033475363
Name:DRENNAN, SARAH MERIDETH (MA, SCHOOL PSYCH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MERIDETH
Last Name:DRENNAN
Suffix:
Gender:F
Credentials:MA, SCHOOL PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 S RIDGEVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-4220
Mailing Address - Country:US
Mailing Address - Phone:605-321-6670
Mailing Address - Fax:
Practice Address - Street 1:4300 S LOUISE AVE
Practice Address - Street 2:SUITE # 201
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-3144
Practice Address - Country:US
Practice Address - Phone:605-334-7713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD71409-2101YS0200X, 103TS0200X
CA101223316101YS0200X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool