MEDICARE: MISS SARAH SCHNEIDER MS

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	:	1386046589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SARAH SCHNEIDER MS

Provider Business Mailing Address
First Line	:	494 UPPER GRASSY HILL RD
Second Line	:
City	:	WOODBURY
State	:	CT
Zip	:	06798-3106
Country	:	US
Telephone Number	:	203-598-5125
Fax Number	:

Provider Business Practice Location Address
First Line	:	494 UPPER GRASSY HILL RD
Second Line	:
City	:	WOODBURY
State	:	CT
Zip	:	06798-3106
Country	:	US
Telephone Number	:	203-598-5125
Fax Number	:

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

Provider Enumeration Date	:	09/18/2014
Last Update Date	:	09/18/2014

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Directions to “ MISS SARAH SCHNEIDER MS” Practice Location

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