| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SALLY ANNE WILLETT | 1164515698 | 2024-07-06 |
Sally A Willett MD [F] graduated in 1987 and primarily specializes in Psychiatry.
Sally Anne Willett is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164515698. Registration indicates Sally Anne Willett is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| PECOS ID | 9739177379 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Sally Anne Willett M.D. |
| Other Provider Name | Dr. Sally Anne Waddington |
| Practice Office Address | 9841 BROKEN LAND PARKWAY SUITE 116 COLUMBIA, MD US |
| Practice Office Telephone | 3014900778 |
| Practice Office Fax | 3014984663 |
| Mailing Address | 9841 BROKEN LAND PARKWAY SUITE 116 COLUMBIA, MD 210460000 US |
| Business Telephone | 3014900778 |
| Business Fax | 3014984663 |
| Code | Practice | License No State |
|---|---|---|
| 2084P0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | D0042386
MD |