Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1073794608 |
---|---|
Provider Name | Dr. Sarah L Hedlund |
First Address | Washington, DC 20036-1815 |
Second Address | Washington, DC 20036-1815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2007 |
Last Update Date | 26/11/2007 |