Healthcare Provider Details

I. General information

NPI: 1700703477
Provider Name (Legal Business Name): SARAH ELISABETH WOLFENBARGER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELISABETH CONARD SLP

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 MONARCH PT
GREENEVILLE TN
37745-4637
US

IV. Provider business mailing address

2000 MONARCH PT
GREENEVILLE TN
37745-4637
US

V. Phone/Fax

Practice location:
  • Phone: 423-609-7997
  • Fax: 423-609-7033
Mailing address:
  • Phone: 423-609-7997
  • Fax: 423-609-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9593
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: