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NPI Code Detail

MEDICARE: SARAH LAURIE FEDOR SLP

MEDICARE: SARAH LAURIE FEDOR SLP
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
1235Z00000XSpeech-Language Pathologist022129NY
2235Z00000XSpeech-Language Pathologist109032TX

General Provider Information

NPI Number : 1174871321
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LAURIE FEDOR SLP
Provider Business Mailing Address
First Line : 6005 WESTVIEW DRIVE
Second Line :
City : HOUSTON
State : TX
Zip : 77055
Country : US
Telephone Number : 713-696-2130
Fax Number : 713-696-2133
Provider Business Practice Location Address
First Line : 6005 WESTVIEW DRIVE
Second Line :
City : HOUSTON
State : TX
Zip : 77055
Country : US
Telephone Number : 713-696-2130
Fax Number : 713-696-2133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2012
Last Update Date : 07/14/2014

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Directions to “ SARAH LAURIE FEDOR SLP” Practice Location

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