| Doctor Name: | SARA ANN MIESEMER |
| NPI Number: | 1548555121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CF-SLP |
| License Number: | 0395A |
| Business Practice Address: | 4730 Atrium Ct Owings Mills, MD - 211173556 |
| Business Phone Number: | 4103634790 |
| Business Fax Number: | |
| Mailing Address: | 10 Hartley Cir, Apt 622 OWINGS MILLS |
| State: | MD |
| Postal Code: | 211175238 |
| Phone Number: | 7172156051 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2011 |
| NPI Last Update Date: | 06/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 0395A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| 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 |