Provider Demographics
NPI:1972327609
Name:SARAHS TACTICALLY ALIGNED SPEECH KNOW HOWS LLC
Entity type:Organization
Organization Name:SARAHS TACTICALLY ALIGNED SPEECH KNOW HOWS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BIPATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-234-9104
Mailing Address - Street 1:2315 GREENBRIER ST
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-8737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2315 GREENBRIER ST
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-8737
Practice Address - Country:US
Practice Address - Phone:347-234-9104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty