Provider Demographics
NPI:1376718866
Name:HODGSON, SARAH TURRENTINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:TURRENTINE
Last Name:HODGSON
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:PO BOX 753
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248-0753
Mailing Address - Country:US
Mailing Address - Phone:860-916-0341
Mailing Address - Fax:
Practice Address - Street 1:127 BABCOCK HILL RD
Practice Address - Street 2:
Practice Address - City:SOUTH WINDHAM
Practice Address - State:CT
Practice Address - Zip Code:06266-1137
Practice Address - Country:US
Practice Address - Phone:860-916-0341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC2200X, 103TM1800X
CT002716103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities