Sara Carmichael
Individual provider Active NPI Speech-Language Pathologist · Republic, MO
NPI 1336764489 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1336764489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2020016518 (MO)
- Practice address
- 2673 E Sawyer Rd
Republic, MO 65738-7574 - Phone
- (417) 324-7646
- NPI assigned
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2020016518 | MO | Yes |
Addresses
Primary practice location
2673 E Sawyer Rd
Republic, MO 65738-7574
Mailing address
3225 E Bradford St
Republic, MO 65738-7828
Phone (417) 459-5004
Other providers in Republic, MO
- Lucas Austin Burbridge
- Mary M. Burch
- Stacey A Burton
- Kara J Cain
- Andrew Cameron
- Blaine Alan Carter
- Erin Elizabeth Casey
- Stashia Marie Casimir
- Peterpaul Mayo Chanliongco
- Marjorie A Cheesman
All providers in Republic, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.