Provider Demographics
NPI:1114304342
Name:DELEON, SARAH ELLEN (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELLEN
Last Name:DELEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1760 S TELEGRAPH RD STE 220
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0183
Mailing Address - Country:US
Mailing Address - Phone:313-570-0322
Mailing Address - Fax:248-671-0922
Practice Address - Street 1:1760 S TELEGRAPH RD STE 220
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0183
Practice Address - Country:US
Practice Address - Phone:313-570-0322
Practice Address - Fax:248-671-0922
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011078862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry