Provider Demographics
NPI:1316519192
Name:FLETCHER, SARAH (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:FLETCHER
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 1:610 SORAPARU ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5416
Mailing Address - Country:US
Mailing Address - Phone:504-874-1187
Mailing Address - Fax:
Practice Address - Street 1:610 SORAPARU ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5416
Practice Address - Country:US
Practice Address - Phone:504-874-1187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1537103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool