Provider Demographics
NPI:1922219153
Name:WHITE, SARAH BUTLER (PHD)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BUTLER
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 17TH ST
Mailing Address - Street 2:SUITE 482
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1271
Mailing Address - Country:US
Mailing Address - Phone:303-628-5566
Mailing Address - Fax:303-628-5547
Practice Address - Street 1:1616 17TH ST
Practice Address - Street 2:SUITE 482
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1271
Practice Address - Country:US
Practice Address - Phone:303-628-5566
Practice Address - Fax:303-628-5547
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO662103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical