Provider Demographics
NPI:1497411516
Name:DAVID, SARAH JO (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JO
Last Name:DAVID
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 1:5440 W 110TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1221
Mailing Address - Country:US
Mailing Address - Phone:913-565-4230
Mailing Address - Fax:913-222-1949
Practice Address - Street 1:5440 W 110TH ST STE 300
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1221
Practice Address - Country:US
Practice Address - Phone:913-565-4230
Practice Address - Fax:913-222-1949
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP03074103TB0200X
MO2021036132103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral