Provider Demographics
NPI:1174251664
Name:MATTHEWS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 E HIGHLAND MALL BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3731
Mailing Address - Country:US
Mailing Address - Phone:512-807-0640
Mailing Address - Fax:737-242-7961
Practice Address - Street 1:314 E HIGHLAND MALL BLVD STE 305
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3731
Practice Address - Country:US
Practice Address - Phone:512-807-0640
Practice Address - Fax:737-242-7961
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004790363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health