Basic Information
| Provider Information | |||||||||
| NPI: | 1063993418 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOREAU | ||||||||
| FirstName: | SARAH | ||||||||
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| Credential: | M.A., CCC-SLP, CLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 490 CATHERINE DR | ||||||||
| Address2: | |||||||||
| City: | PARKESBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193651179 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 SKILES BLVD | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193827321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104554040 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2018 | ||||||||
| LastUpdateDate: | 08/23/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 14177239 | PA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.