Provider Demographics
NPI:1356742936
Name:DR. SARAH A. BOHN, CLINICAL PSYCHOLOGIST, INC
Entity type:Organization
Organization Name:DR. SARAH A. BOHN, CLINICAL PSYCHOLOGIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-729-8641
Mailing Address - Street 1:1207 CARLSBAD VILLAGE DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1957
Mailing Address - Country:US
Mailing Address - Phone:760-729-8641
Mailing Address - Fax:760-434-0917
Practice Address - Street 1:1207 CARLSBAD VILLAGE DR
Practice Address - Street 2:SUITE H
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1957
Practice Address - Country:US
Practice Address - Phone:760-729-8641
Practice Address - Fax:760-434-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty