Sarah Brackenrich
Individual provider Active NPI Speech-Language Assistant · Union, WV
NPI 1639578917 · NPPES record last updated Aug 22, 2014
Key facts
- NPI
- 1639578917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- Practice address
- 330 Willow Bend Road
Union, WV 24983 - Phone
- (304) 772-3094
- NPI assigned
- Aug 22, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Yes |
Addresses
Primary practice location
330 Willow Bend Road
Union, WV 24983
Mailing address
505 College St
Narrows, VA 24124-2167
Phone (540) 986-6045
Other providers in Union, WV
- Carrie Beard
- Cheyenne Boreiy
- Natisha Lanore Bowers
- Virginia Buchanan
- Loria Shumate Chasnoff
- Heather Renee Crews
- James Warren Cunningham
- Christine Renee Dax
All providers in Union, WV · Speech-Language Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2014. 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.