NPI 1003397647

Sara Camille Banegas

Practitioner School Psychologist Graham, WA

Practice location

Address: 5108 260th St E, Graham, WA 98338-9609
Phone: (602) 653-1445
Mailing address: 5636 a St, Tacoma, WA 98408-7505

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 550480E (WA)

Other Psychologist providers in Washington →

Registry record

NPI: 1003397647
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2018
Record last updated: 22 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.