Provider Demographics
NPI:1952733016
Name:HAAG, SARAH CATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:CATHERINE
Last Name:HAAG
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:PO BOX 6860
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95502-6860
Mailing Address - Country:US
Mailing Address - Phone:707-672-2206
Mailing Address - Fax:707-268-0662
Practice Address - Street 1:1660 CENTRAL AVE STE J
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-4378
Practice Address - Country:US
Practice Address - Phone:707-672-2206
Practice Address - Fax:707-443-3204
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 24248103TC1900X
CAPSY24248103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling