Healthcare Provider Details

I. General information

NPI: 1700264686
Provider Name (Legal Business Name): SARAH FELDMAN SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 PEAK ONE DR STE 190
FRISCO CO
80443-5868
US

IV. Provider business mailing address

2472 PATTERSON RD UNIT 8
GRAND JUNCTION CO
81505-1100
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-0888
  • Fax: 970-668-0227
Mailing address:
  • Phone: 970-241-0202
  • Fax: 970-245-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0003810
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: