Doctor Name: | MRS. SARA MAHON BUSH |
NPI Number: | 1033344247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 014780-1 |
Business Practice Address: | 7 Gregs Ct Saratoga Springs, NY - 128667503 |
Business Phone Number: | 5183065966 |
Business Fax Number: | |
Mailing Address: | 7 Gregs Ct, SARATOGA SPRINGS |
State: | NY |
Postal Code: | 128667503 |
Phone Number: | 5183065966 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2009 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 014780-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |