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NPI Code Detail

MEDICARE: SARAH STEWART BRADSHAW MASON M.ED., CCC/SLP

MEDICARE:   SARAH STEWART BRADSHAW MASON  M.ED., 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
1235Z00000XSpeech-Language Pathologist8224NC

General Provider Information

NPI Number : 1366606352
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH STEWART BRADSHAW MASON M.ED., CCC/SLP
Provider Business Mailing Address
First Line : 3803 COMPUTER DR # B
Second Line : SUITE 200
City : RALEIGH
State : NC
Zip : 27609-6541
Country : US
Telephone Number : 919-791-3582
Fax Number :
Provider Business Practice Location Address
First Line : 3803 COMPUTER DR # B
Second Line : SUITE 200
City : RALEIGH
State : NC
Zip : 27609-6541
Country : US
Telephone Number : 919-791-3582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 09/18/2025

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Directions to “ SARAH STEWART BRADSHAW MASON M.ED., CCC/SLP” Practice Location

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