Provider Demographics
NPI:1194074427
Name:MORAD, SARAH GESHTI (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:GESHTI
Last Name:MORAD
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 1:11441 ALLERTON PARK DR
Mailing Address - Street 2:UNIT 205
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3374
Mailing Address - Country:US
Mailing Address - Phone:310-613-7981
Mailing Address - Fax:
Practice Address - Street 1:11441 ALLERTON PARK DR
Practice Address - Street 2:UNIT 205
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-3374
Practice Address - Country:US
Practice Address - Phone:310-613-7981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic