Provider Demographics
NPI:1295915676
Name:BRANDEL, SARAH KAY (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KAY
Last Name:BRANDEL
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 1:6832 OLD DOMINION DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3887
Mailing Address - Country:US
Mailing Address - Phone:703-790-7279
Mailing Address - Fax:
Practice Address - Street 1:6832 OLD DOMINION DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3887
Practice Address - Country:US
Practice Address - Phone:703-790-7279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003886103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical