Provider Demographics
NPI:1700207925
Name:REICHARDT CROSBY, SARAH
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:REICHARDT CROSBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:PACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 W 5TH AVE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4601
Mailing Address - Country:US
Mailing Address - Phone:509-328-1582
Mailing Address - Fax:
Practice Address - Street 1:25 W 5TH AVE
Practice Address - Street 2:SUITE 113
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4601
Practice Address - Country:US
Practice Address - Phone:509-328-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst