Provider Demographics
NPI:1962932863
Name:ALBERTSON, SABRINA (MA CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:
Last Name:ALBERTSON
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24947 WALNUT HILL DR
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-9231
Mailing Address - Country:US
Mailing Address - Phone:740-623-8768
Mailing Address - Fax:
Practice Address - Street 1:199 STATE ST
Practice Address - Street 2:
Practice Address - City:CONESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43811-9747
Practice Address - Country:US
Practice Address - Phone:740-829-2334
Practice Address - Fax:740-829-2856
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP5038235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist