Doctor Name: | SARAH BRUGGEMAN |
NPI Number: | 1275844318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 9658 |
Business Practice Address: | 563 Colony Park Dr Tallmadge, OH - 442782859 |
Business Phone Number: | 3306309780 |
Business Fax Number: | 3306300928 |
Mailing Address: | 440 Munroe Falls Ave Apt 13, CUYAHOGA FALLS |
State: | OH |
Postal Code: | 442213486 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |