Provider Demographics
NPI:1447877618
Name:AMEDORO, SARAH M (PSYD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:AMEDORO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:BARNARDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28709-0454
Mailing Address - Country:US
Mailing Address - Phone:828-367-7236
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 305
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2466
Practice Address - Country:US
Practice Address - Phone:828-367-7236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6187103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist