Provider Demographics
NPI:1104138858
Name:HAUG, SARAH KAY (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KAY
Last Name:HAUG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:KAY
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:7023 N CAMINO SIN VACAS
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-7331
Mailing Address - Country:US
Mailing Address - Phone:520-743-6769
Mailing Address - Fax:520-742-7773
Practice Address - Street 1:7023 N CAMINO SIN VACAS
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-7331
Practice Address - Country:US
Practice Address - Phone:520-743-6769
Practice Address - Fax:520-742-7773
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4109103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical