Healthcare Provider Details

I. General information

NPI: 1124936083
Provider Name (Legal Business Name): SARAH REESE-EDWARDS M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 W JEFFRIES AVE
BURBANK CA
91505-1849
US

IV. Provider business mailing address

11068 FENWAY ST
SUN VALLEY CA
91352-1212
US

V. Phone/Fax

Practice location:
  • Phone: 818-729-3700
  • Fax:
Mailing address:
  • Phone: 619-618-6978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39522
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: