Provider Demographics
NPI:1982859856
Name:MCQUEEN, SARAH R (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:R
Last Name:MCQUEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:KOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19455 DEERFIELD AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8100
Mailing Address - Country:US
Mailing Address - Phone:571-223-0048
Mailing Address - Fax:703-726-0047
Practice Address - Street 1:19455 DEERFIELD AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8100
Practice Address - Country:US
Practice Address - Phone:571-223-0048
Practice Address - Fax:703-726-0047
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010538232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry