Provider Demographics
NPI:1316197163
Name:REIMER, SARAH E (PHD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:REIMER
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 1:97 S LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9301
Mailing Address - Country:US
Mailing Address - Phone:614-843-1009
Mailing Address - Fax:614-859-0549
Practice Address - Street 1:97 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065
Practice Address - Country:US
Practice Address - Phone:614-843-1009
Practice Address - Fax:614-859-0549
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6477103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP33941Medicare PIN
OH2944185Medicaid