Healthcare Provider Details

I. General information

NPI: 1881562304
Provider Name (Legal Business Name): SARAH LEAH KATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 FOREST GREEN CT
BALTIMORE MD
21209-1566
US

IV. Provider business mailing address

2424 FOREST GREEN CT
BALTIMORE MD
21209-1566
US

V. Phone/Fax

Practice location:
  • Phone: 443-293-6603
  • Fax:
Mailing address:
  • Phone: 443-293-6603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number03232L
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: