Provider Demographics
NPI:1982879425
Name:VELEZ, SARA MICHELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:MICHELLE
Last Name:VELEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:MICHELLE
Other - Last Name:O'NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2960 SILVERPLUME DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2488
Mailing Address - Country:US
Mailing Address - Phone:678-626-7207
Mailing Address - Fax:
Practice Address - Street 1:508 W TRILBY RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4054
Practice Address - Country:US
Practice Address - Phone:678-626-7207
Practice Address - Fax:877-345-3501
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation