Provider Demographics
NPI:1497034037
Name:MUNOZ, SARAH NICHOLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:NICHOLE
Last Name:MUNOZ
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 1:478 KINGLET RD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-6133
Mailing Address - Country:US
Mailing Address - Phone:858-729-3437
Mailing Address - Fax:
Practice Address - Street 1:478 KINGLET RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-6133
Practice Address - Country:US
Practice Address - Phone:858-729-3437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-14
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26378103T00000X
NY1206631103TS0200X
CA101201471103TS0200X
NY019836-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool