MEDICARE: SARAH GRUNDMEYER ABRUSLEY

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	103K00000X	Behavior Analyst
2	235Z00000X	Speech-Language Pathologist	9755	LA

General Provider Information

NPI Number	:	1295473429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH GRUNDMEYER ABRUSLEY

Provider Business Mailing Address
First Line	:	6233 MILNE BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2015
Country	:	US
Telephone Number	:	504-220-0965
Fax Number	:

Provider Business Practice Location Address
First Line	:	6233 MILNE BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2015
Country	:	US
Telephone Number	:	504-220-0965
Fax Number	:

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

Provider Enumeration Date	:	05/26/2022
Last Update Date	:	01/06/2025

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Directions to “ SARAH GRUNDMEYER ABRUSLEY ” Practice Location

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