Irby, Sarah
Irby, Sarah is an individual health care provider with primary practice located at 5960 Getwell Rd Ste 212D , Southaven MS 38672-7320. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Irby, Sarah can be contacted via phone (662) 228-0130.Contact Information
Primary practice address
5960 Getwell Rd Ste 212D
Southaven MS 38672-7320
Phone: (662) 228-0130
Fax: (678) 868-2843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P0000003313 | Tennessee |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 58-1020 | Mississippi |
Profile Details
NPI number | 1275962045 |
---|---|
LBN Legal business name | Irby, Sarah |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2013 |
Last updated | May 21st, 2024 - about last year |
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 | 1275962045 | NPPES |
Tennessee | MEDICAID | Q017484 | |
Tennessee | MEDICAID | 02426331 |
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