Individual
SARAH IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5960 GETWELL RD STE 212D, SOUTHAVEN, MS 38672-7320
(662) 228-0130
(678) 868-2843
Mailing address
5960 GETWELL RD STE 212D, SOUTHAVEN, MS 38672-7320
(662) 228-0130
(678) 868-2843
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P0000003313
TN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
58-1020
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426331
—
MS
05
—
Q017484
—
TN
Enumeration date
11/02/2013
Last updated
05/21/2024
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