Provider Demographics
NPI:1285995449
Name:NAHRWOLD, SARAH ELIZABETH (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:NAHRWOLD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:365 N JEFFERSON ST APT 2509
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-1230
Mailing Address - Country:US
Mailing Address - Phone:310-634-6793
Mailing Address - Fax:
Practice Address - Street 1:3521 LOMITA BLVD.
Practice Address - Street 2:SUITE 201
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-856-8528
Practice Address - Fax:310-856-8532
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP#15030235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist