MEDICARE: SARAH BARRETT

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	146010790	IL

General Provider Information

NPI Number	:	1962777979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BARRETT

Provider Business Mailing Address
First Line	:	1107 PRAIRIE AVE
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-2816
Country	:	US
Telephone Number	:	847-826-0892
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 PRAIRIE AVE
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-2816
Country	:	US
Telephone Number	:	847-826-0892
Fax Number	:

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

Provider Enumeration Date	:	03/09/2012
Last Update Date	:	02/17/2014

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Directions to “ SARAH BARRETT ” Practice Location

Language	Start Address	Practice Location

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