Healthcare Provider Details
I. General information
NPI: 1326502352
Provider Name (Legal Business Name): SARAH MCALISTER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4900 SANGER AVE
WACO TX
76710-5866
US
IV. Provider business mailing address
4900 SANGER AVE
WACO TX
76710-5866
US
V. Phone/Fax
- Phone: 254-644-2423
- Fax: 254-848-4193
- Phone: 254-644-2423
- Fax: 254-848-4193
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: