Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PSY.004811 | CO |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY24600 | CA |
N | 103G00000X | Clinical Psychologist | PSY.004811 | CO |
N | 103TC0700X | Clinical Psychologist | PSY.004811 | CO |
N | 103G00000X | Clinical Psychologist | PSY24600 | CA |
N | 103TC0700X | Clinical Psychologist | PSY24600 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY.004811 | CO |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY24600 | CA |
NPI | 1104450394 |
---|---|
Provider Name | Sarah Ann Haider |
First Address | Centennial, CO 80111-1734 |
Second Address | Centennial, CO 80111-1734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2020 |
Last Update Date | 26/02/2020 |