Provider Demographics
NPI:1104450394
Name:HAIDER, SARAH ANN (PSYD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:HAIDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 E ORCHARD RD STE 305
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1734
Mailing Address - Country:US
Mailing Address - Phone:303-747-5855
Mailing Address - Fax:
Practice Address - Street 1:7120 E ORCHARD RD STE 305
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1734
Practice Address - Country:US
Practice Address - Phone:303-747-5855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24600103TB0200X, 103TC0700X, 103TC2200X
COPSY.004811103TC0700X, 103TC2200X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent