Healthcare Provider Details

I. General information

NPI: 1265399901
Provider Name (Legal Business Name): SARAH ARIELLE ELAZAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 WISCONSIN AVE
CHEVY CHASE MD
20815-3552
US

IV. Provider business mailing address

4710 BETHESDA AVE APT 417
BETHESDA MD
20814-7214
US

V. Phone/Fax

Practice location:
  • Phone: 301-986-1503
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP200001758
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP100555
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202011916
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11540
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: