Basic Information
| Provider Information | |||||||||
| NPI: | 1669089678 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JAMES | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | INEZ | ||||||||
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| Credential: | MA, CF-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 THOMAS PAINE PKWY | ||||||||
| Address2: | |||||||||
| City: | CENTERVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454592541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374286273 | ||||||||
| FaxNumber: | 9374286274 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 THOMAS PAINE PKWY | ||||||||
| Address2: | |||||||||
| City: | CENTERVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454592541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374286273 | ||||||||
| FaxNumber: | 9374286274 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2020 | ||||||||
| LastUpdateDate: | 09/24/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | COND.20201464-SP | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.