Provider Demographics
NPI:1144652801
Name:MITCHELL, SARA LILLIAN ALCORN (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:LILLIAN ALCORN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8642 TUTTLE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2228
Mailing Address - Country:US
Mailing Address - Phone:703-307-4214
Mailing Address - Fax:
Practice Address - Street 1:8642 TUTTLE RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2228
Practice Address - Country:US
Practice Address - Phone:703-307-4214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042872A103T00000X
VA0810008101103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist