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NPI Code Detail

MEDICARE: SARAH HALPIN NIELSEN M.ED., CCC-SLP

MEDICARE: SARAH HALPIN NIELSEN M.ED., 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 PathologistSLP009473GA

General Provider Information

NPI Number : 1760040521
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HALPIN NIELSEN M.ED., CCC-SLP
Provider Business Mailing Address
First Line : 170 PARK BRIDGE LN
Second Line :
City : ROSWELL
State : GA
Zip : 30075-3062
Country : US
Telephone Number : 404-455-6548
Fax Number :
Provider Business Practice Location Address
First Line : 1109 GREEN ST
Second Line :
City : ROSWELL
State : GA
Zip : 30075-3609
Country : US
Telephone Number : 770-998-1802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 06/05/2019

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Directions to “ SARAH HALPIN NIELSEN M.ED., CCC-SLP” Practice Location

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