Provider Demographics
NPI:1326273053
Name:LANDEW, SARAH A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:A
Last Name:LANDEW
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 1:135 E 12TH ST
Mailing Address - Street 2:LOEB HALL, NEW SCHOOL UNIVERSITY. 2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5368
Mailing Address - Country:US
Mailing Address - Phone:617-869-1707
Mailing Address - Fax:
Practice Address - Street 1:117 W 13TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7853
Practice Address - Country:US
Practice Address - Phone:617-869-1707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017740103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical