Provider Demographics
NPI:1194876326
Name:POLLACK, SARAH A (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:A
Last Name:POLLACK
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 1:4747 BELLAIRE BLVD.
Mailing Address - Street 2:SUITE 570
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-795-4580
Mailing Address - Fax:713-795-4583
Practice Address - Street 1:4747 BELLAIRE BLVD
Practice Address - Street 2:SUITE 570
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4527
Practice Address - Country:US
Practice Address - Phone:713-795-4580
Practice Address - Fax:713-795-4583
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1685106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist