Provider Demographics
NPI:1467666073
Name:DEAL, SARAH RIVERS (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:RIVERS
Last Name:DEAL
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 N LAMAR BLVD
Mailing Address - Street 2:SUITE 351
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-4992
Mailing Address - Country:US
Mailing Address - Phone:512-981-5917
Mailing Address - Fax:
Practice Address - Street 1:1907 N LAMAR BLVD
Practice Address - Street 2:SUITE 351
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-4992
Practice Address - Country:US
Practice Address - Phone:512-981-5917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional