Sandra Pacha, SLP
Individual provider Active NPI Speech-Language Pathologist · Wayland, IA
NPI 1376745604 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1376745604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 01403 (IA)
- Practice address
- 102 North Jackson
Wayland, IA 52654 - Phone
- (615) 896-6400
- NPI assigned
- May 31, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01403 | IA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01403 | IA | Yes |
Addresses
Primary practice location
102 North Jackson
Wayland, IA 52654
Mailing address
1047 Osage Ave
Richland, IA 52585-8001
Phone (319) 694-3850
Other providers in Wayland, IA
- Amanda C Gilles
- Henry County Soldiers' and Sailors' Memorial Hospital
- MD Orthopaedics, Inc.
- Waco Community Schools
- Wayland Mennonite Home Association
All providers in Wayland, IA · Speech-Language Pathologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. 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.