Provider Demographics
NPI:1710303045
Name:SLAGLE-ARNOLD, PH.D, SARAH J
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:J
Last Name:SLAGLE-ARNOLD, PH.D
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 478
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-0478
Mailing Address - Country:US
Mailing Address - Phone:207-373-1738
Mailing Address - Fax:
Practice Address - Street 1:279 WARD RD.
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-0478
Practice Address - Country:US
Practice Address - Phone:207-373-1738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1061103T00000X
NY003331-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist