Benton, Sarah Wildermuth

Benton, Sarah Wildermuth is an individual health care provider with primary practice located at 2924 Brook Rd Children'S Hospital, Richmond VA 23220-1215. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Benton, Sarah Wildermuth can be contacted via phone (804) 321-7474.

Contact Information

Primary practice address
2924 Brook Rd Children'S Hospital Richmond VA 23220-1215
Phone: (804) 321-7474
Fax: (804) 228-5210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004207 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 09-19P Arkansas

Profile Details

NPI number 1174775290
LBN Legal business name Benton, Sarah Wildermuth
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Sep 20th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174775290 NPPES
Virginia MEDICAID 004909976

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