MEDICARE: MRS. SARAH HARRINGTON COPLEY M.S.,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
1	235Z00000X	Speech-Language Pathologist	TEMPORARY	NC

General Provider Information

NPI Number	:	1689684847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH HARRINGTON COPLEY M.S.,CCC-SLP

Provider Business Mailing Address
First Line	:	512 WESTBROOK DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-7321
Country	:	US
Telephone Number	:	336-978-1267
Fax Number	:

Provider Business Practice Location Address
First Line	:	3803 COMPUTER DR # B
Second Line	:	SUITE 200
City	:	RALEIGH
State	:	NC
Zip	:	27609-6541
Country	:	US
Telephone Number	:	919-870-9591
Fax Number	:	919-846-4705

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	05/07/2010

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