Provider Demographics
NPI:1720821945
Name:RICHARDS, SARAH KATHERINE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-1211
Mailing Address - Country:US
Mailing Address - Phone:740-503-6039
Mailing Address - Fax:
Practice Address - Street 1:825 STATE ROUTE 61
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:OH
Practice Address - Zip Code:43334-9215
Practice Address - Country:US
Practice Address - Phone:419-253-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15975235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist