Wakefield, Sarah Mallard

Wakefield, Sarah Mallard is an individual health care provider with primary practice located at 3601 4Th St Stop 8104 Department Of Psychiatry, Lubbock TX 79430-8352. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Wakefield, Sarah Mallard can be contacted via phone (806) 743-6164.

Contact Information

Primary practice address
3601 4Th St Stop 8104 Department Of Psychiatry Lubbock TX 79430-8352
Phone: (806) 743-6164
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X Q0383 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Q0383 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Q0383 Texas

Profile Details

NPI number 1164689287
LBN Legal business name Wakefield, Sarah Mallard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Nov 18th, 2019 - about 5 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 1164689287 NPPES
Louisiana MEDICAID 11765

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