Provider Demographics
NPI:1427099761
Name:JARVIS, SARA J (PHD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:J
Last Name:JARVIS
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:VA GREATER LOS ANGELES HEALTH CARE SYSTEM
Mailing Address - Street 2:11301 WILSHIRE BLVD
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073
Mailing Address - Country:US
Mailing Address - Phone:310-478-3711
Mailing Address - Fax:310-268-4801
Practice Address - Street 1:VA GREATER LOS ANGELES HEALTH CARE SYSTEM
Practice Address - Street 2:11301 WILSHIRE BLVD
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:310-268-4801
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
CAPSY10927103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical