Provider Demographics
NPI:1578688818
Name:SNEED, SARAH BREITBACH (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BREITBACH
Last Name:SNEED
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 PUMP RD
Mailing Address - Street 2:#243
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1111
Mailing Address - Country:US
Mailing Address - Phone:804-378-2083
Mailing Address - Fax:
Practice Address - Street 1:301 CONCOURSE BLVD
Practice Address - Street 2:SUITE 227
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5643
Practice Address - Country:US
Practice Address - Phone:804-378-2083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18117103TC0700X
VA0810004673103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical