Provider Demographics
NPI:1124431267
Name:ODORISIO, SARAH
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:ODORISIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 25TH ST NW
Mailing Address - Street 2:APT 716
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1446
Mailing Address - Country:US
Mailing Address - Phone:610-513-1841
Mailing Address - Fax:
Practice Address - Street 1:2131 O ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1008
Practice Address - Country:US
Practice Address - Phone:610-513-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2015-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist