Provider Demographics
NPI:1851655971
Name:LORD, SARAH PEREGRINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:PEREGRINE
Last Name:LORD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:GEISS TRUSZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:826 102ND AVE NE STE 400
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4158
Mailing Address - Country:US
Mailing Address - Phone:425-200-5582
Mailing Address - Fax:
Practice Address - Street 1:826 102ND AVE NE STE 400
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4158
Practice Address - Country:US
Practice Address - Phone:425-429-2499
Practice Address - Fax:610-523-0582
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent