Doctor Name: | MRS. SARA ELIZABETH SURRATT |
NPI Number: | 1245672203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CFY-SLP |
License Number: | 242.002660 |
Business Practice Address: | 1010 W North St Girard, IL - 626401061 |
Business Phone Number: | 2176272181 |
Business Fax Number: | |
Mailing Address: | 216 Fairway Dr Apt 5, CHATHAM |
State: | IL |
Postal Code: | 626295070 |
Phone Number: | 2172065213 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2013 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.002660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |