Doctor Name: | MRS. SARAH MATOUSEK |
NPI Number: | 1003872250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | SP#P7892 |
Business Practice Address: | 125 W Sunbridge Dr Fayetteville, AR - 727031899 |
Business Phone Number: | 4795879201 |
Business Fax Number: | 4795279439 |
Mailing Address: | Po Box 9626, FAYETTEVILLE |
State: | AR |
Postal Code: | 727030028 |
Phone Number: | 4795879201 |
Fax Number: | 4795279439 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P7892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |