Provider Demographics
NPI:1063723658
Name:O'NEIL, SARAH E (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:520 ROBERTS AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13207-1639
Mailing Address - Country:US
Mailing Address - Phone:315-243-7634
Mailing Address - Fax:
Practice Address - Street 1:9 N CHAPPELL ST
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:NY
Practice Address - Zip Code:13080-9431
Practice Address - Country:US
Practice Address - Phone:315-689-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2013-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12138909OtherASHA CERTIFICATION
NY021225-1OtherNYS LICENSE