Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 20042105A | IN |
Y | 103TC0700X | Clinical Psychologist | 20042105A | IN |
NPI | 1013033489 |
---|---|
Provider Name | Dr. Sarah A Landsberger |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-2207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 03/12/2020 |