Healthcare Provider Details

I. General information

NPI: 1912287673
Provider Name (Legal Business Name): SARA TREMAINE GOSSER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8133 OLD FEDERAL RD
MONTGOMERY AL
36117-8009
US

IV. Provider business mailing address

8133 OLD FEDERAL RD
MONTGOMERY AL
36117-8009
US

V. Phone/Fax

Practice location:
  • Phone: 334-246-4289
  • Fax: 334-323-9573
Mailing address:
  • Phone: 334-246-4289
  • Fax: 334-323-9573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1077A
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1077A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: