Healthcare Provider Details

I. General information

NPI: 1245427145
Provider Name (Legal Business Name): SARAH K WALKER MSLP, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37349 WATERSIDE CIR
OCEAN VIEW DE
19970-4401
US

IV. Provider business mailing address

37349 WATERSIDE CIR
OCEAN VIEW DE
19970-4401
US

V. Phone/Fax

Practice location:
  • Phone: 302-829-8125
  • Fax:
Mailing address:
  • Phone: 302-829-8125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number01-0000841
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: