Healthcare Provider Details

I. General information

NPI: 1851029052
Provider Name (Legal Business Name): SARAH R. FOWLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 SAUNDERS AVE
RICHMOND VA
23227-4328
US

IV. Provider business mailing address

2206 MENDOTA DR
HENRICO VA
23229-3345
US

V. Phone/Fax

Practice location:
  • Phone: 804-358-1874
  • Fax:
Mailing address:
  • Phone: 804-517-2527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202010316
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: