Doctor Name: | SARAH BETH JAGIELA |
NPI Number: | 1316265382 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 001993 |
Business Practice Address: | 4486 Dickey John Rd Auburn, IL - 626159577 |
Business Phone Number: | 6417457142 |
Business Fax Number: | |
Mailing Address: | 4486 Dickey John Rd, AUBURN |
State: | IL |
Postal Code: | 626159577 |
Phone Number: | 6417457142 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2010 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001993 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
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 |