Provider Demographics
NPI:1639872625
Name:STANGER, SARAH BUDNEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BUDNEY
Last Name:STANGER
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 1:63 HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7315
Mailing Address - Country:US
Mailing Address - Phone:501-626-8723
Mailing Address - Fax:
Practice Address - Street 1:2 COLCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05405-1764
Practice Address - Country:US
Practice Address - Phone:802-656-2661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019799103T00000X
VT048.0134749103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist