Doctor Name: | SARAH WALDEN |
NPI Number: | 1043560667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 22004915A |
Business Practice Address: | 4900 Shamrock Dr Suites 100-102 Evansville, IN - 477157325 |
Business Phone Number: | 8124797337 |
Business Fax Number: | |
Mailing Address: | 3737 Five Oaks Dr, EVANSVILLE |
State: | IN |
Postal Code: | 477257648 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/11/2012 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004915A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |