Provider Demographics
NPI:1306984950
Name:CHENKIN, SARAH W (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:W
Last Name:CHENKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:BENNETT
Other - Last Name:WHITCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:403 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2016
Mailing Address - Country:US
Mailing Address - Phone:610-328-1788
Mailing Address - Fax:
Practice Address - Street 1:403 PARK AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2016
Practice Address - Country:US
Practice Address - Phone:610-328-1788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004770L103TC2200X
DEB0000234103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent