MEDICARE: SARAH PELLMAN

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
1	235Z00000X	Speech-Language Pathologist	007266	CT

General Provider Information

NPI Number	:	1437082880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH PELLMAN

Provider Business Mailing Address
First Line	:	125 BREAKNECK HILL RD
Second Line	:
City	:	MIDDLEBURY
State	:	CT
Zip	:	06762-1900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 RESERVOIR OFFICE PARK STE 104
Second Line	:
City	:	SOUTHBURY
State	:	CT
Zip	:	06488-3926
Country	:	US
Telephone Number	:	203-262-9909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ SARAH PELLMAN ” Practice Location

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