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NPI Code Detail

MEDICARE: SARA HUMPHREYS

MEDICARE: SARA HUMPHREYS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant5650CA

General Provider Information

NPI Number : 1053952754
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA HUMPHREYS
Provider Business Mailing Address
First Line : 2736 14TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-2924
Country : US
Telephone Number : 916-501-2171
Fax Number :
Provider Business Practice Location Address
First Line : 2741 RIVERSIDE BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-2900
Country : US
Telephone Number : 916-426-6005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2019
Last Update Date : 10/03/2019

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Directions to “ SARA HUMPHREYS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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