Healthcare Provider Details

I. General information

NPI: 1669540415
Provider Name (Legal Business Name): SARAH KASHI AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SALEM ST
WILMINGTON MA
01887-1200
US

IV. Provider business mailing address

15 MAIN ST APT 16
NORTH READING MA
01864-2241
US

V. Phone/Fax

Practice location:
  • Phone: 978-988-1999
  • Fax:
Mailing address:
  • Phone: 339-927-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number912
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: