MEDICARE: SARAH CHRIST

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	2355S0801X	Speech-Language Assistant
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1336399831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CHRIST

Provider Business Mailing Address
First Line	:	638 COUNTRY CLUB LN
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-4430
Country	:	US
Telephone Number	:	732-674-2680
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3003
Country	:	US
Telephone Number	:	732-674-2680
Fax Number	:

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

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	09/22/2008

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Directions to “ SARAH CHRIST ” Practice Location

Language	Start Address	Practice Location

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