Sara Vaccarella
Clinical Psychologist Forensic Psychologist Group Psychotherapist Cognitive & Behavioral Psychologist
331 W Superior St Ste 300
Duluth
, Minnesota 55802-4532
Sara Vaccarella
Clinical Psychologist Forensic Psychologist Group Psychotherapist Cognitive & Behavioral Psychologist
331 W Superior St Ste 300
Duluth
, Minnesota 55802-4532
(218) 349-0203
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Forensic Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Sara Vaccarella
- 1346 W Arrowhead Rd # 163
- Duluth, MN
- Zip : 55811-2218
- Phone : (218) 349-0203
Second Address
- Sara Vaccarella
- 331 W Superior St Ste 300
- Duluth, MN
- Zip : 55802-4532
- Phone : (218) 591-2648
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | LP6008 | MN |
| N | 103G00000X | Clinical Psychologist | LP6008 | MN |
| N | 103TC0700X | Clinical Psychologist | LP6008 | MN |
| Y | 103TF0200X | Forensic Psychologist | LP6008 | MN |
| N | 103TP2701X | Group Psychotherapist | LP6008 | MN |
National Provider Identifier
| NPI | 1245750652 |
|---|---|
| Provider Name | Sara Vaccarella |
| First Address | Duluth, MN 55811-2218 |
| Second Address | Duluth, MN 55802-4532 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2017 |
| Last Update Date | 27/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.