Healthcare Provider Details

I. General information

NPI: 1740413673
Provider Name (Legal Business Name): SARAH BRUTKIEWICZ HOLLAND M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HILLCREST RD STE 210
MOBILE AL
36695-3916
US

IV. Provider business mailing address

1000 HILLCREST RD STE 210
MOBILE AL
36695-3916
US

V. Phone/Fax

Practice location:
  • Phone: 251-586-8040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2641
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: