Provider Demographics
NPI:1821587692
Name:FELDMAN, SARAH EVANS
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:EVANS
Last Name:FELDMAN
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 1:18 SQUAW PEAK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1150
Mailing Address - Country:US
Mailing Address - Phone:413-374-1444
Mailing Address - Fax:
Practice Address - Street 1:100 STONE MANOR DR
Practice Address - Street 2:
Practice Address - City:NEW MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01230-9744
Practice Address - Country:US
Practice Address - Phone:413-591-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9795103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist