Provider Demographics
NPI:1992052047
Name:MAAS, SARAH (PSY MA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MAAS
Suffix:
Gender:F
Credentials:PSY MA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:CHATTERTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:232 LOWERY RD
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-9089
Mailing Address - Country:US
Mailing Address - Phone:802-735-7530
Mailing Address - Fax:
Practice Address - Street 1:277 BLAIR PARK RD
Practice Address - Street 2:SUITE 210
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7886
Practice Address - Country:US
Practice Address - Phone:802-264-5333
Practice Address - Fax:802-316-4208
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT047-0078711103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical