Provider Demographics
NPI:1417554676
Name:ABOUDARA, SARAH YAROCK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:YAROCK
Last Name:ABOUDARA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:YAROCK
Other - Last Name:RUTSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 MOLLY STARK DR
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5140
Mailing Address - Country:US
Mailing Address - Phone:609-213-9612
Mailing Address - Fax:
Practice Address - Street 1:145 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8626
Practice Address - Country:US
Practice Address - Phone:973-898-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00613900103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist