Sarah Marie Soderberg, MSE, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3326-154 Issued in WI

Practice address

505 W 8TH St
New Richmond, WI 54017-1524

Phone

(715) 246-6851

Fax

(715) 246-6422

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1891089835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 130TH AVE",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "540138008",
            "telephone_number": "715-220-1704",
            "fax_number": "715-246-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 8TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171524",
            "telephone_number": "715-246-6851",
            "fax_number": "715-246-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERBERG",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSE, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3326-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525019",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Simpkins, CRNA
• Julie Simpson
• Courtney Aron Smith
• Jessica Rose Smith, DPT
• Soderberg Eye Care Center
• Melvin Solsvig Sr., CSAC
• Sonya'S Employment Options LLC
• Sonya'S Employment Options LLC
• Kelli L Sosnowski, SAC-IT
• Patricia A Spoentgen, PHD, MS, BA

• Speech-Language Pathologist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.