Basic Information
| Provider Information | |||||||||
| NPI: | 1235117599 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SABOL | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | S.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14650 DETROIT AVE | ||||||||
| Address2: | SUITE 710 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441074213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4407776017 | ||||||||
| FaxNumber: | 4407776940 | ||||||||
| Practice Location | |||||||||
| Address1: | 14650 DETROIT AVE | ||||||||
| Address2: | SUITE 710 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441074213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162277700 | ||||||||
| FaxNumber: | 2162265899 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | ST.3544 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.