Provider Demographics
NPI:1396334710
Name:COLOMBO, SARAH ANN LIOIO (AUD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN LIOIO
Last Name:COLOMBO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 IVEY OAKS RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5635
Mailing Address - Country:US
Mailing Address - Phone:423-914-2433
Mailing Address - Fax:
Practice Address - Street 1:2390 IVEY OAKS RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-5635
Practice Address - Country:US
Practice Address - Phone:423-914-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004111231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist