Doctor Name: | MRS. SARA GREENFIELD |
NPI Number: | 1619332707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED CCC SLP |
License Number: | 60593861 |
Business Practice Address: | 2701 Clare Ave Bremerton, WA - 983103313 |
Business Phone Number: | 3603773915 |
Business Fax Number: | |
Mailing Address: | 320 Washington Ave, Unit 405 BREMERTON |
State: | WA |
Postal Code: | 983371865 |
Phone Number: | 3145170223 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2015 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 60593861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |