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NPI Code Detail

MEDICARE: SARAH M ADDIS SLP

MEDICARE: SARAH M ADDIS 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 Pathologist7101005550MI

General Provider Information

NPI Number : 1841772100
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH M ADDIS SLP
Provider Business Mailing Address
First Line : 5549 N PICCADILLY
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-1443
Country : US
Telephone Number : 248-320-3121
Fax Number :
Provider Business Practice Location Address
First Line : 5549 N PICCADILLY
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-1443
Country : US
Telephone Number : 248-320-3121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 09/04/2018

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Directions to “ SARAH M ADDIS SLP” Practice Location

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