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NPI Code Detail

MEDICARE: SARAH MENDEKE MS CCC-SLP

MEDICARE:   SARAH  MENDEKE  MS 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 Pathologist118893TX

General Provider Information

NPI Number : 1467163709
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MENDEKE MS CCC-SLP
Provider Business Mailing Address
First Line : 9916 HOUSTON DR
Second Line :
City : WOODWAY
State : TX
Zip : 76712-8966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 S LOOP 340
Second Line :
City : ROBINSON
State : TX
Zip : 76706-4828
Country : US
Telephone Number : 254-523-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2022
Last Update Date : 08/06/2025

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Directions to “ SARAH MENDEKE MS CCC-SLP” Practice Location

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