Provider Demographics
NPI:1013116375
Name:BISCONER, SARAH W (PHD, LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:W
Last Name:BISCONER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 JAMESTOWN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3392
Mailing Address - Country:US
Mailing Address - Phone:757-229-7927
Mailing Address - Fax:757-253-8891
Practice Address - Street 1:1307 JAMESTOWN RD STE 202
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3392
Practice Address - Country:US
Practice Address - Phone:757-229-7927
Practice Address - Fax:757-253-8891
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006347101YP2500X
VA0811000981103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist