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NPI Code Detail

MEDICARE: SARA VOS M.A., CCC-SLP

MEDICARE: SARA VOS M.A., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7101001160MI

General Provider Information

NPI Number : 1093294720
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA VOS M.A., CCC-SLP
Provider Business Mailing Address
First Line : 4851 E PICKARD ST STE 2600
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-2042
Country : US
Telephone Number : 989-775-1662
Fax Number : 989-775-1604
Provider Business Practice Location Address
First Line : 4851 E PICKARD ST STE 2600
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-2042
Country : US
Telephone Number : 989-775-1662
Fax Number : 989-775-1604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2018
Last Update Date : 08/13/2018

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Directions to “ SARA VOS M.A., CCC-SLP” Practice Location

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