Provider Demographics
NPI:1275398752
Name:SARR, ERICA REECE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:REECE
Last Name:SARR
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 1:16671 N LITCHFIELD RD APT 169
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7068
Mailing Address - Country:US
Mailing Address - Phone:832-693-5582
Mailing Address - Fax:
Practice Address - Street 1:16671 N LITCHFIELD RD
Practice Address - Street 2:#169
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7068
Practice Address - Country:US
Practice Address - Phone:623-777-9108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-004916103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical