Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1-06-2638 | TN |
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 1-06-2638 | FL |
NPI | 1184882375 |
---|---|
Provider Name | Sarah A Luger |
First Address | Nashville, TN 37207-2800 |
Second Address | Nashville, TN 37207-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2008 |
Last Update Date | 14/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
692950896 | (05) | FL |