Healthcare Provider Details

I. General information

NPI: 1679438816
Provider Name (Legal Business Name): SARAH LAUREN GEERE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 OAKDALE AVE STE 305
CHATSWORTH CA
91311-6539
US

IV. Provider business mailing address

190 SIERRA CT STE C10
PALMDALE CA
93550-7609
US

V. Phone/Fax

Practice location:
  • Phone: 661-274-8454
  • Fax:
Mailing address:
  • Phone: 661-274-8454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20629
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: