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Individual

SARAH A. EDMONDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
416 N KENDRICK ST STE 3, FLAGSTAFF, AZ 86001-1598
(928) 830-4661
Mailing address
2940 W DARLEEN DR, FLAGSTAFF, AZ 86001-0700
(928) 830-4661

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3481
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
506857
AHCCCS PROVIDER ID
AZ
01
Z117798
MEDICARE PTAN
AZ
Enumeration date
07/28/2007
Last updated
02/15/2023
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