Individual
SARAH C IMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
575 VIRGINIA RD, CONCORD, MA 01742-2761
(216) 534-4133
Mailing address
575 VIRGINIA RD, CONCORD, MA 01742-2761
(216) 534-4133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11748
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2021
Last updated
02/13/2024
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