Provider Demographics
NPI:1831523901
Name:MILLER, SARAH ARENSMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ARENSMAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 VIA MARINA
Mailing Address - Street 2:#111
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5376
Mailing Address - Country:US
Mailing Address - Phone:618-741-8710
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD. BLDG 256, RM 106A
Practice Address - Street 2:VA WEST LOS ANGELES (116B)
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25468103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling