Provider Demographics
NPI:1174380497
Name:DR. SARAH ALTENBERG PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:DR. SARAH ALTENBERG PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MANCINI
Authorized Official - Last Name:ALTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:928-433-8821
Mailing Address - Street 1:1515 N SAN FRANCISCO ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1435
Mailing Address - Country:US
Mailing Address - Phone:916-759-3457
Mailing Address - Fax:
Practice Address - Street 1:1515 N SAN FRANCISCO ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1435
Practice Address - Country:US
Practice Address - Phone:928-433-8821
Practice Address - Fax:928-774-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty