Provider Demographics
NPI:1396059275
Name:BRADY, SARAH FRITZ (AUD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:FRITZ
Last Name:BRADY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:53-59 PUBLIC SQUARE, SUITE. 202
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601
Mailing Address - Country:US
Mailing Address - Phone:315-786-3225
Mailing Address - Fax:315-786-3215
Practice Address - Street 1:53-59 PUBLIC SQUARE
Practice Address - Street 2:SUITE 202
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601
Practice Address - Country:US
Practice Address - Phone:315-786-3225
Practice Address - Fax:315-786-3215
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002402231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist