Provider Demographics
NPI:1053066001
Name:SAWYER, CAROLINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:SAWYER
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 1:8160 VETERANS PKWY APT 1228
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-1963
Mailing Address - Country:US
Mailing Address - Phone:920-915-0923
Mailing Address - Fax:
Practice Address - Street 1:8160 VETERANS PKWY APT 1228
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-1963
Practice Address - Country:US
Practice Address - Phone:920-915-0923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004533103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist