Provider Demographics
NPI:1841042504
Name:EGGLESTON, SARAH KATE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATE
Last Name:EGGLESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 SHADY LAKE CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-3364
Mailing Address - Country:US
Mailing Address - Phone:804-393-8722
Mailing Address - Fax:
Practice Address - Street 1:70 ALUMNAE DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1013
Practice Address - Country:US
Practice Address - Phone:804-393-8722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool