MEDICARE: SARAH MYERS

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	09402	MD

General Provider Information

NPI Number	:	1568278455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MYERS

Provider Business Mailing Address
First Line	:	270 GLENDA CT
Second Line	:
City	:	MILLERSVILLE
State	:	MD
Zip	:	21108-1025
Country	:	US
Telephone Number	:	301-641-5479
Fax Number	:

Provider Business Practice Location Address
First Line	:	1298 BAY DALE DR STE 202
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2826
Country	:	US
Telephone Number	:	443-216-9233
Fax Number	:

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

Provider Enumeration Date	:	12/05/2024
Last Update Date	:	12/05/2024

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Directions to “ SARAH MYERS ” Practice Location

Language	Start Address	Practice Location

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