Provider Demographics
NPI:1669117081
Name:DEYHLE, SABRINA EMILY (DO)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:EMILY
Last Name:DEYHLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1226
Mailing Address - Country:US
Mailing Address - Phone:609-576-3963
Mailing Address - Fax:
Practice Address - Street 1:1809 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6823
Practice Address - Country:US
Practice Address - Phone:609-576-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program