Provider Demographics
NPI:1487081626
Name:BURGER, SARAH B (PHD, ABPP-CN)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:BURGER
Suffix:
Gender:F
Credentials:PHD, ABPP-CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4570 S CALLE DON DOMENICO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746-8459
Mailing Address - Country:US
Mailing Address - Phone:520-441-4006
Mailing Address - Fax:
Practice Address - Street 1:5930 E PIMA ST STE 138
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4351
Practice Address - Country:US
Practice Address - Phone:520-441-4006
Practice Address - Fax:855-249-5320
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-004435103TC0700X
AZ4435103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist