Provider Demographics
NPI:1386473171
Name:PAULEY, SARAH LOUISE (SLPA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:PAULEY
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 LAKE DOUGLAS PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-2633
Mailing Address - Country:US
Mailing Address - Phone:407-267-5768
Mailing Address - Fax:
Practice Address - Street 1:9740 LAKE DOUGLAS PL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-2633
Practice Address - Country:US
Practice Address - Phone:407-267-5768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI60192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant