Sarah Blasius

Individual provider Active NPI Speech-Language Pathologist · Stratford, CT

NPI 1497119317 · NPPES record last updated Feb 21, 2023

Key facts

NPI
1497119317
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
005120 (CT)
Practice address
2900 Main St
Stratford, CT 06614-4946
Phone
(203) 378-0092
Fax
(203) 375-4540
NPI assigned
Apr 6, 2016
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

LicenseStateTypeSpecialty
005120CTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 005120 CT Yes

Addresses

Primary practice location

2900 Main St
Stratford, CT 06614-4946

Mailing address

32 Hill St
Milford, CT 06460-3205
Phone (203) 525-9323

Other providers in Stratford, CT

All providers in Stratford, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.