Provider Demographics
NPI:1063758415
Name:ZAMORA, SARAH MARIE (MS, CFY-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:MS, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COMMERCIAL PL
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3102
Mailing Address - Country:US
Mailing Address - Phone:210-858-9062
Mailing Address - Fax:210-566-3433
Practice Address - Street 1:3 COMMERCIAL PL
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3102
Practice Address - Country:US
Practice Address - Phone:210-858-9062
Practice Address - Fax:210-566-3433
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108353235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist