Deweese, Sarah
Deweese, Sarah is an sole proprietor health care provider with primary practice located at 1 Main St San Quentin State Prison, San Quentin CA 94964-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Deweese, Sarah can be contacted via phone (415) 454-1460.Contact Information
Primary practice address
1 Main St San Quentin State Prison
San Quentin CA 94964-1000
Phone: (415) 454-1460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY22657 | California |
Profile Details
| NPI number | 1093959256 |
|---|---|
| LBN Legal business name | Deweese, Sarah |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2009 |
| Last updated | Sep 5th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093959256 | NPPES |
| Other | PSY22657 | PSYCHOLOGY LICENSE |
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