Provider Demographics
NPI:1194306241
Name:SARA DOLINAK SPEECH THERAPY
Entity type:Organization
Organization Name:SARA DOLINAK SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:BLACKMAN
Authorized Official - Last Name:DOLINAK
Authorized Official - Suffix:
Authorized Official - Credentials:MSP, CCC-SLP
Authorized Official - Phone:864-680-9261
Mailing Address - Street 1:1180 WHISPER TRACE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-8684
Mailing Address - Country:US
Mailing Address - Phone:864-680-9261
Mailing Address - Fax:
Practice Address - Street 1:1180 WHISPER TRACE LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-8684
Practice Address - Country:US
Practice Address - Phone:864-680-9261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty