Provider Demographics
NPI:1316270986
Name:CALVIN, SARAH ANN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:CALVIN
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 1:7413 E TURQUOISE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1002
Mailing Address - Country:US
Mailing Address - Phone:480-861-5081
Mailing Address - Fax:480-483-3527
Practice Address - Street 1:7413 E TURQUOISE AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1002
Practice Address - Country:US
Practice Address - Phone:480-861-5081
Practice Address - Fax:480-483-3527
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP#1805235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist