Provider Demographics
NPI:1831673714
Name:VEDVEI, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:VEDVEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:RAAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:SD
Mailing Address - Zip Code:57445-0252
Mailing Address - Country:US
Mailing Address - Phone:605-216-7380
Mailing Address - Fax:
Practice Address - Street 1:2301 8TH AVE NE STE 135
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-3254
Practice Address - Country:US
Practice Address - Phone:605-622-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLMFT11536106H00000X
MN3370106H00000X
ND2018-064106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist