Basic Information
| Provider Information | |||||||||
| NPI: | 1790103927 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SADDLER | ||||||||
| FirstName: | SONDRA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.A. CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3150 SEBOR RD | ||||||||
| Address2: | |||||||||
| City: | SHAKER HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441202849 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167516465 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 15600 PARKLAND DR | ||||||||
| Address2: | |||||||||
| City: | SHAKER HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441202529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162951400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2014 | ||||||||
| LastUpdateDate: | 04/04/2014 | ||||||||
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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 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.