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NPI Code Detail

MEDICARE: SARAH BREWER SLP

MEDICARE:   SARAH  BREWER  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 Pathologist09348MD

General Provider Information

NPI Number : 1174149496
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BREWER SLP
Provider Business Mailing Address
First Line : 502 CHARLES STREET AVE
Second Line :
City : TOWSON
State : MD
Zip : 21204-4206
Country : US
Telephone Number : 443-388-7275
Fax Number :
Provider Business Practice Location Address
First Line : 11150 RESORT RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2050
Country : US
Telephone Number : 410-461-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2020
Last Update Date : 06/23/2020

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Directions to “ SARAH BREWER SLP” Practice Location

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