Provider Demographics
NPI:1467752535
Name:HOWARD, SARA MARIA (PHD, ABPP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHD, ABPP
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 41061
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85717-1061
Mailing Address - Country:US
Mailing Address - Phone:520-367-8706
Mailing Address - Fax:520-779-5216
Practice Address - Street 1:6885 N ORACLE RD STE D
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4222
Practice Address - Country:US
Practice Address - Phone:523-678-7066
Practice Address - Fax:520-779-5216
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004191103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical