Provider Demographics
NPI:1760814297
Name:SARAH WEDEN PSY.D., P.A.
Entity Type:Organization
Organization Name:SARAH WEDEN PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:WEDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:443-212-8378
Mailing Address - Street 1:8160 MAPLE LAWN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2615
Mailing Address - Country:US
Mailing Address - Phone:443-212-8378
Mailing Address - Fax:443-288-6787
Practice Address - Street 1:8160 MAPLE LAWN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2615
Practice Address - Country:US
Practice Address - Phone:443-212-8378
Practice Address - Fax:443-288-6787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty