Individual
SARAH ANN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-3833
(802) 295-9363
Mailing address
PO BOX 70, GEORGES MILLS, NH 03751-0070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0006582
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2024
Last updated
10/25/2024
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