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NPI Code Detail

MEDICARE: SARAH OOSTINDIE M.S., CF-SLP

MEDICARE: SARAH OOSTINDIE M.S., CF-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 Pathologist5032-154WI

General Provider Information

NPI Number : 1427674027
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH OOSTINDIE M.S., CF-SLP
Provider Business Mailing Address
First Line : 1614 PRAIRIE PL APT 209
Second Line :
City : HOLMEN
State : WI
Zip : 54636-5327
Country : US
Telephone Number : 920-763-4568
Fax Number :
Provider Business Practice Location Address
First Line : 106 S HOLMEN DR STE 2
Second Line :
City : HOLMEN
State : WI
Zip : 54636-9468
Country : US
Telephone Number : 920-763-4568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2020
Last Update Date : 05/25/2021

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Directions to “ SARAH OOSTINDIE M.S., CF-SLP” Practice Location

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