Provider Demographics
NPI:1891999819
Name:LEVERETT, SARAH R (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:R
Last Name:LEVERETT
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 1:1223 W RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-1107
Mailing Address - Country:US
Mailing Address - Phone:509-879-8329
Mailing Address - Fax:509-456-5336
Practice Address - Street 1:1220 W SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4112
Practice Address - Country:US
Practice Address - Phone:509-879-8329
Practice Address - Fax:509-456-5336
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health