Provider Demographics
NPI:1104432012
Name:SPRATTO, SINEAD (CCC-SLP)
Entity type:Individual
Prefix:
First Name:SINEAD
Middle Name:
Last Name:SPRATTO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96061 JAMAICAN COURT
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-0006
Mailing Address - Country:US
Mailing Address - Phone:904-844-6832
Mailing Address - Fax:
Practice Address - Street 1:96061 JAMAICAN COURT
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-0006
Practice Address - Country:US
Practice Address - Phone:904-844-6832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist