Healthcare Provider Details

I. General information

NPI: 1518344225
Provider Name (Legal Business Name): SARA PORTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2015
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 SPRINGDALE RD
CINCINNATI OH
45251-1331
US

IV. Provider business mailing address

6835 ELDORADO DR
LIBERTY TOWNSHIP OH
45044-9277
US

V. Phone/Fax

Practice location:
  • Phone: 513-245-0100
  • Fax:
Mailing address:
  • Phone: 513-885-2816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10768
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: