Doctor Name: | MISS SARAH MALLOY |
NPI Number: | 1770897423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SP - 9786 |
Business Practice Address: | 25221 Miles Road Suite F Warrensville Heights, OH - 44128 |
Business Phone Number: | 2165141600 |
Business Fax Number: | |
Mailing Address: | 151 Eaton Ridge Dr, #311 SAGAMORE HILLS |
State: | OH |
Postal Code: | 440671570 |
Phone Number: | 3304190195 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2010 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP - 9786 |
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 |