Healthcare Provider Details
I. General information
NPI: 1891908703
Provider Name (Legal Business Name): SARAH E. ZAVALA AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/07/2007
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 W LAFAYETTE ST
NORRISTOWN PA
19401-4758
US
IV. Provider business mailing address
2 W LAFAYETTE ST
NORRISTOWN PA
19401-4758
US
V. Phone/Fax
- Phone: 844-808-4100
- Fax: 833-262-9588
- Phone: 484-808-4100
- Fax: 338-262-9588
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 41YA00073600 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 2034 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | O2 - 0000188 |
| License Number State | DE |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AT006194 |
| License Number State | PA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 25MG00113400 |
| License Number State | NJ |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | O2-0000188 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: