Provider Demographics
NPI:1093844888
Name:EDWARDS, SARAH M (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W PRATT ST
Mailing Address - Street 2:PSYCHIATRY, 4TH FLOOR- CHILD
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1023
Mailing Address - Country:US
Mailing Address - Phone:410-372-0718
Mailing Address - Fax:410-328-0202
Practice Address - Street 1:701 W PRATT ST
Practice Address - Street 2:PSYCHIATRY, 4TH FLOOR- CHILD
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1023
Practice Address - Country:US
Practice Address - Phone:410-372-0718
Practice Address - Fax:410-328-0202
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDH00653492084P0800X
MDHOO653492084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry