Healthcare Provider Details

I. General information

NPI: 1609780006
Provider Name (Legal Business Name): SARAH LEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 W BULLARD AVE STE 102
FRESNO CA
93704-1755
US

IV. Provider business mailing address

265 W BULLARD AVE STE 102
FRESNO CA
93704-1755
US

V. Phone/Fax

Practice location:
  • Phone: 559-205-0930
  • Fax: 559-899-3123
Mailing address:
  • Phone: 559-205-0930
  • Fax: 559-899-3123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number29951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: