Healthcare Provider Details

I. General information

NPI: 1275956500
Provider Name (Legal Business Name): SARAH WHITE M.A CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KENDZIORSKI M.A CCC-SLP

II. Dates (important events)

Enumeration Date: 01/22/2014
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 W UNION ST
ATHENS OH
45701-9410
US

IV. Provider business mailing address

21 BIRGE DR
CHAUNCEY OH
45719-1100
US

V. Phone/Fax

Practice location:
  • Phone: 740-593-5445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 10494
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: