Healthcare Provider Details

I. General information

NPI: 1326528639
Provider Name (Legal Business Name): SARA LAMBERTO MS, CCC,SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 04/10/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 NJ-73 C GREENTREE EXECUTIVE COMMONS
MARLTON NJ
08053
US

IV. Provider business mailing address

130 N 2ND ST UNIT 3E
PHILADELPHIA PA
19106-4605
US

V. Phone/Fax

Practice location:
  • Phone: 856-983-3390
  • Fax:
Mailing address:
  • Phone: 240-743-8521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS01193400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-55504
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: