Provider Demographics
NPI:1144533712
Name:RICHIE, SARAH D (PHD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:D
Last Name:RICHIE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 CENTERVIEW PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4227
Mailing Address - Country:US
Mailing Address - Phone:901-737-6677
Mailing Address - Fax:901-758-5066
Practice Address - Street 1:8000 CENTERVIEW PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4227
Practice Address - Country:US
Practice Address - Phone:901-737-6677
Practice Address - Fax:901-758-5066
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2658103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist