Provider Demographics
NPI:1346877800
Name:HOW, SARAH KAY (PSYS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KAY
Last Name:HOW
Suffix:
Gender:F
Credentials:PSYS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17550 200TH ST
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:MN
Mailing Address - Zip Code:56511-9421
Mailing Address - Country:US
Mailing Address - Phone:701-367-6687
Mailing Address - Fax:
Practice Address - Street 1:17550 200TH ST
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:MN
Practice Address - Zip Code:56511-9421
Practice Address - Country:US
Practice Address - Phone:701-367-6687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN375686103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty