Provider Demographics
NPI:1306674346
Name:TARLECKI, SARAH REED (PSYD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:REED
Last Name:TARLECKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:REED
Other - Last Name:ROSECKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:356 N POTTSTOWN PIKE FL 3
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2246
Mailing Address - Country:US
Mailing Address - Phone:215-469-1798
Mailing Address - Fax:610-273-5598
Practice Address - Street 1:356 N POTTSTOWN PIKE FL 3
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2246
Practice Address - Country:US
Practice Address - Phone:215-469-1798
Practice Address - Fax:610-273-5598
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020386103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist