Provider Demographics
NPI:1659337558
Name:STOOKEY, SARAH ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH
Last Name:STOOKEY
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9124 E MAIN ST STE 20-21
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-8700
Mailing Address - Country:US
Mailing Address - Phone:480-295-8070
Mailing Address - Fax:415-252-7176
Practice Address - Street 1:9124 E MAIN ST STE 20-21
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-8700
Practice Address - Country:US
Practice Address - Phone:480-295-8070
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4423103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ184762Medicare PIN