Provider Demographics
NPI:1164457842
Name:SPEARS, SARAH GILLIAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:GILLIAM
Last Name:SPEARS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 FAIRWAY DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-4244
Mailing Address - Country:US
Mailing Address - Phone:916-315-8500
Mailing Address - Fax:916-315-8501
Practice Address - Street 1:6000 FAIRWAY DR
Practice Address - Street 2:SUITE 5
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-4244
Practice Address - Country:US
Practice Address - Phone:916-315-8500
Practice Address - Fax:916-315-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14639103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical