Provider Demographics
NPI:1699437681
Name:FINCH, SARAH KATHERINE (MA, ATR-P)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:FINCH
Suffix:
Gender:F
Credentials:MA, ATR-P
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:FINCH
Other - Last Name:DILTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, ATR-P
Mailing Address - Street 1:403 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4298
Mailing Address - Country:US
Mailing Address - Phone:678-237-2867
Mailing Address - Fax:
Practice Address - Street 1:6201 CORINTH RD
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-7603
Practice Address - Country:US
Practice Address - Phone:678-237-2867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
20-040221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
20-040OtherAMERICAN ART THERAPY ASSOCIATION
665651246OtherHPSO