MEDICARE: SARAH CHRISTINE FORBES 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

General Provider Information

NPI Number	:	1366972168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CHRISTINE FORBES CCC-SLP

Provider Business Mailing Address
First Line	:	827 PAINTER STREET EXT
Second Line	:
City	:	EVERSON
State	:	PA
Zip	:	15631-1204
Country	:	US
Telephone Number	:	724-787-9328
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 E 4TH AVE
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-1810
Country	:	US
Telephone Number	:	724-594-0676
Fax Number	:

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

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	06/14/2017

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Directions to “ SARAH CHRISTINE FORBES CCC-SLP” Practice Location

Language	Start Address	Practice Location

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