Avery, Sarah (Sally)
Avery, Sarah (Sally) is an sole proprietor health care provider with primary practice located at 150 E Division Rd Ste 10 , Oak Ridge TN 37830-6908. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Avery, Sarah (Sally) can be contacted via phone (865) 250-7782.Contact Information
Primary practice address
150 E Division Rd Ste 10
Oak Ridge TN 37830-6908
Phone: (865) 250-7782
Fax: (865) 482-9488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P0000001375 | Tennessee |
Profile Details
| NPI number | 1255397261 |
|---|---|
| LBN Legal business name | Avery, Sarah (Sally) |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 8th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255397261 | NPPES |
| Tennessee | MEDICAID | 3681866 |
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