MEDICARE: SARA FIEDLER

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	SP.7026	OH

General Provider Information

NPI Number	:	1588088900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA FIEDLER

Provider Business Mailing Address
First Line	:	9394 STERLING DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45241-5107
Country	:	US
Telephone Number	:	513-779-3014
Fax Number	:

Provider Business Practice Location Address
First Line	:	7202 WINDING WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-3341
Country	:	US
Telephone Number	:	513-407-6828
Fax Number	:

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

Provider Enumeration Date	:	02/05/2014
Last Update Date	:	02/05/2014

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Directions to “ SARA FIEDLER ” Practice Location

Language	Start Address	Practice Location

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