MEDICARE: SARAH CARLIN M.S., CCC-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
1	235Z00000X	Speech-Language Pathologist	SA 14839	FL

General Provider Information

NPI Number	:	1245784065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CARLIN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1154 SW 27TH PL
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-7832
Country	:	US
Telephone Number	:	562-228-8290
Fax Number	:

Provider Business Practice Location Address
First Line	:	1154 SW 27TH PL
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-7832
Country	:	US
Telephone Number	:	562-228-8290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	08/10/2016

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Directions to “ SARAH CARLIN M.S., CCC-SLP” Practice Location

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