Provider Demographics
NPI:1952581720
Name:GRETHER, SARAH G (EDS)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:G
Last Name:GRETHER
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3088 S ELINORE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-6125
Mailing Address - Country:US
Mailing Address - Phone:520-290-6294
Mailing Address - Fax:
Practice Address - Street 1:VAIL SCHOOL DISTRICT
Practice Address - Street 2:13801 E. BENSON HWY.
Practice Address - City:VAIL
Practice Address - State:AZ
Practice Address - Zip Code:85641
Practice Address - Country:US
Practice Address - Phone:520-879-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool