MEDICARE: SAGE SPEECH & LEARNING ASSOCIATES, LLC

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	SLP007147	GA

General Provider Information

NPI Number	:	1881001709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGE SPEECH & LEARNING ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	1273 METROPOLITAN AVE SE UNIT 17661
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-8009
Country	:	US
Telephone Number	:	404-245-7981
Fax Number	:	404-891-6440

Provider Business Practice Location Address
First Line	:	8735 DUNWOODY PL STE 3
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	404-245-7981
Fax Number	:

Authorized Official
Title or Position	:	OWNER, SPEECH-LANGUAGE PATHOLOGIST
Name	:	SAREN SCHAPIRO
Credential	:	M.SC, CCC-SLP
Telephone Number	:	404-245-7981

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	04/22/2024

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Language	Start Address	Practice Location

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