Provider Demographics
NPI:1649089632
Name:MCKEEN, SARA (MA, CAS, NCSP)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:MCKEEN
Suffix:
Gender:F
Credentials:MA, CAS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 MACON RD UNIT ROOM141
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2228
Mailing Address - Country:US
Mailing Address - Phone:240-550-2999
Mailing Address - Fax:
Practice Address - Street 1:4910 MACON RD UNIT ROOM141
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2228
Practice Address - Country:US
Practice Address - Phone:240-550-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool