Provider Demographics
NPI:1437990108
Name:SEDLACEK, SARAH JANE (MA, PLMHP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:SEDLACEK
Suffix:
Gender:F
Credentials:MA, PLMHP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:QUALSETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:770 N COTNER BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2377
Mailing Address - Country:US
Mailing Address - Phone:402-413-1811
Mailing Address - Fax:
Practice Address - Street 1:770 N COTNER BLVD STE 330
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2377
Practice Address - Country:US
Practice Address - Phone:402-413-1811
Practice Address - Fax:402-413-6644
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional