MEDICARE: SARAH RENN TRIMBLE M.S., 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

General Provider Information

NPI Number	:	1841857133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH RENN TRIMBLE M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	11214 GOPHER DR
Second Line	:
City	:	WAYNESBORO
State	:	PA
Zip	:	17268-8254
Country	:	US
Telephone Number	:	215-804-6890
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 PHILADELPHIA AVE
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-1386
Country	:	US
Telephone Number	:	717-262-2373
Fax Number	:

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

Provider Enumeration Date	:	05/22/2019
Last Update Date	:	03/29/2022

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