Provider Demographics
NPI:1891775458
Name:SARI, DANA JANETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:JANETTE
Last Name:SARI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 OFFICE SQUARE LN STE B102
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3650
Mailing Address - Country:US
Mailing Address - Phone:757-703-7708
Mailing Address - Fax:757-732-0953
Practice Address - Street 1:317 OFFICE SQUARE LN STE B102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3650
Practice Address - Country:US
Practice Address - Phone:757-703-7708
Practice Address - Fax:757-732-0953
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA08100003006103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30017474540001Medicaid
VA7713461Medicaid
VA7713461Medicaid