Provider Demographics
NPI:1295216430
Name:MCDANIELS, SARAH A (PHD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:MCDANIELS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:VADNAIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:744 HEARTLAND TRL
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1982
Mailing Address - Country:US
Mailing Address - Phone:608-294-6088
Mailing Address - Fax:608-824-2675
Practice Address - Street 1:744 HEARTLAND TRL
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1982
Practice Address - Country:US
Practice Address - Phone:608-294-6088
Practice Address - Fax:608-824-2675
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3822-57103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1295216430Medicaid