Provider Demographics
NPI:1023173804
Name:MCARTHUR, SARA (PHD, ABPP)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 ROSE DEW LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:GA
Mailing Address - Zip Code:30445-3501
Mailing Address - Country:US
Mailing Address - Phone:505-321-9324
Mailing Address - Fax:912-285-8817
Practice Address - Street 1:5920 REESE ST
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:GA
Practice Address - Zip Code:31557-5131
Practice Address - Country:US
Practice Address - Phone:912-282-0992
Practice Address - Fax:912-285-8817
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390103G00000X
MD01834103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4317OtherAZ. BOARD OF PSYCHOLOGIST EXAMINERS
GAPSY003633OtherGA STATE BOARD OF PSYCHOLOGY