Provider Demographics
NPI:1073849378
Name:WELLS, SARAH ANN FEUERBACHER (PHD, LCSW-S)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN FEUERBACHER
Last Name:WELLS
Suffix:
Gender:F
Credentials:PHD, LCSW-S
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:FEUERBACHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCSW-S
Mailing Address - Street 1:7608 WORTHING ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6447
Mailing Address - Country:US
Mailing Address - Phone:214-801-4942
Mailing Address - Fax:
Practice Address - Street 1:7608 WORTHING ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6447
Practice Address - Country:US
Practice Address - Phone:214-801-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX360011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical