Sarah Renee Puvalowski, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Clinton Township, MI
NPI 1003480559 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1003480559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 36358 Garfield Rd Ste 2
Clinton Township, MI 48035-1152 - Phone
- (586) 221-0705
- NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210830000460 | MI | Practitioner - Qualified Speech Language Pathologist | 8729483763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Unbound | Single Specialty | Current |
Accepting new patients |
Locations
2890 Carpenter Rd
Ste 1500
Ann Arbor, MI 48108
Phone (734) 255-3342
36358 Garfield Rd
Ste 2
Clinton Township, MI 48035
Phone (586) 221-0705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | MI | Yes |
Addresses
Primary practice location
36358 Garfield Rd Ste 2
Clinton Township, MI 48035-1152
Mailing address
36358 Garfield Rd Ste 2
Clinton Township, MI 48035-1152
Phone (989) 400-1542
Other providers in Clinton Township, MI
- Andrea Pulte
- Gregory E Punches
- Pure Psychiatry of Michigan PLLC
- Sharmi Purkayestha
- Janet C Putman
- Samantha Pytleski
- Ryan N. Qasawa
- Qi Logistics LLC
- Kathleen Ann Quaile
- Que Quality Care LLC
All providers in Clinton Township, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.