MEDICARE: SARAH C DINKEL 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	OT00004086	WA

General Provider Information

NPI Number	:	1952535395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH C DINKEL SLP

Provider Business Mailing Address
First Line	:	3600 LIND AVE SW
Second Line	:	STE 160
City	:	RENTON
State	:	WA
Zip	:	98057-4934
Country	:	US
Telephone Number	:	425-656-4215
Fax Number	:	425-656-5075

Provider Business Practice Location Address
First Line	:	3600 LIND AVE SW
Second Line	:	STE 160
City	:	RENTON
State	:	WA
Zip	:	98057-4934
Country	:	US
Telephone Number	:	425-656-4215
Fax Number	:	425-656-5075

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

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	05/13/2009

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Directions to “ SARAH C DINKEL SLP” Practice Location

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