Doctor Name: | SARA M KNIPP |
NPI Number: | 1598985582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 22003859A |
Business Practice Address: | 808 Mill Lake Rd Fort Wayne, IN - 468456400 |
Business Phone Number: | 2603381241 |
Business Fax Number: | 2603381231 |
Mailing Address: | 2914 Thompson Ave, FORT WAYNE |
State: | IN |
Postal Code: | 468071518 |
Phone Number: | 2603381241 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003859A |
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 |