Provider Demographics
NPI:1518179316
Name:SADLER, CAROLYN DENISE (MA)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:DENISE
Last Name:SADLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 E PRESERVE WAY
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-4097
Mailing Address - Country:US
Mailing Address - Phone:480-488-4005
Mailing Address - Fax:
Practice Address - Street 1:2020 W MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-2341
Practice Address - Country:US
Practice Address - Phone:602-467-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3421204103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool