Sarah Elizabeth Decoteau

Individual provider Active NPI Speech-Language Pathologist · Leeds, MA

NPI 1255848644 · NPPES record last updated Oct 17, 2023

Key facts

NPI
1255848644
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
76977 (MA)
Practice address
421 N Main St
Leeds, MA 01053-9764
Phone
(413) 582-3090
NPI assigned
Jan 7, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
76977MAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 76977 MA Yes

Addresses

Primary practice location

421 N Main St
Leeds, MA 01053-9764

Mailing address

35 Ash St
Spencer, MA 01562-2364
Phone (774) 371-0165

Other practice location 1

377 Plantation St
Worcester, MA 01605-2245
Phone (413) 584-4040 ext. 6598

Other practice location 2

35 Ash St
Spencer, MA 01562-2364
Phone (774) 371-0165

Other providers in Leeds, MA

All providers in Leeds, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.