Provider Demographics
NPI:1407088842
Name:BOYER, SARA (PHD, HSPP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:PHD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 8TH AVE
Mailing Address - Street 2:P.O. BOX 4323
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47804-2744
Mailing Address - Country:US
Mailing Address - Phone:812-231-8315
Mailing Address - Fax:812-231-8400
Practice Address - Street 1:2160 N ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1334
Practice Address - Country:US
Practice Address - Phone:317-937-3700
Practice Address - Fax:317-937-3710
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040710103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist