MEDICARE: MRS. MICHELLE JO SAUER M.A., 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
1	235Z00000X	Speech-Language Pathologist	2151	AR

General Provider Information

NPI Number	:	1790934248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE JO SAUER M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	2325 PICKWICK TER
Second Line	:
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-5508
Country	:	US
Telephone Number	:	479-238-1175
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N MOUNT OLIVE ST
Second Line	:
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-9509
Country	:	US
Telephone Number	:	479-524-6184
Fax Number	:

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

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	09/09/2008

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Directions to “ MRS. MICHELLE JO SAUER M.A., CCC-SLP” Practice Location

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