Provider Demographics
NPI:1710253521
Name:ROBERTS, SARA BETH (DOULA)
Entity Type:Individual
Prefix:MRS
First Name:SARA BETH
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 ARCHER DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-5940
Mailing Address - Country:US
Mailing Address - Phone:757-646-9791
Mailing Address - Fax:
Practice Address - Street 1:828 ARCHER DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-5940
Practice Address - Country:US
Practice Address - Phone:757-646-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator