Doctor Name: | MIRANDA KENLEY SABO |
NPI Number: | 1952624736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | COND. 2010172 |
Business Practice Address: | 6140 Woodside Executive Ct Aiken, SC - 298033820 |
Business Phone Number: | 8036420700 |
Business Fax Number: | 8036420588 |
Mailing Address: | 741 Sable Ct, BOARDMAN |
State: | OH |
Postal Code: | 445125323 |
Phone Number: | 3307198989 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2010 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | COND. 2010172 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |