Provider Demographics
NPI:1235886250
Name:MITCHELL, SARAH ANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARAH ANNE
Middle Name:
Last Name:MITCHELL
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 1:900 GRANGE HALL DRIVE
Mailing Address - Street 2:APT 3211
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-1917
Mailing Address - Country:US
Mailing Address - Phone:859-536-7668
Mailing Address - Fax:
Practice Address - Street 1:900 GRANGE HALL DRIVE
Practice Address - Street 2:APT 3211
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-1917
Practice Address - Country:US
Practice Address - Phone:859-536-7668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12254662-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist