Provider Demographics
NPI:1386682995
Name:SADR, ANN EVELYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:EVELYN
Last Name:SADR
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 1:4250 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-4560
Mailing Address - Country:US
Mailing Address - Phone:610-967-1384
Mailing Address - Fax:
Practice Address - Street 1:1150 GLENLIVET DR
Practice Address - Street 2:SUITE A18
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-3112
Practice Address - Country:US
Practice Address - Phone:610-395-1696
Practice Address - Fax:610-395-1697
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016039103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical