Provider Demographics
NPI:1053165167
Name:MOLEY, SARAH (LAC,MSAC,MA PSYCH)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MOLEY
Suffix:
Gender:
Credentials:LAC,MSAC,MA PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4827 WHITE ROCK CIR APT B
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-6717
Mailing Address - Country:US
Mailing Address - Phone:720-346-4436
Mailing Address - Fax:
Practice Address - Street 1:1435 YARMOUTH AVE STE 104
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-4336
Practice Address - Country:US
Practice Address - Phone:303-583-0179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002873171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist