Sarah Alannouf

Individual provider Active NPI Speech-Language Assistant · Fountain Valley, CA

NPI 1922649342 · NPPES record last updated Oct 7, 2019

Key facts

NPI
1922649342
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
4769 (CA)
Practice address
18396 Brookhurst St
Fountain Valley, CA 92708-6704
Phone
(714) 642-5420
Fax
(714) 849-5393
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
4769CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avid Speech Therapy Speech-Language Assistant Current
since Oct 13, 2019
Accepting new patients
Avid Speech Therapy Speech-Language Assistant Past
since Oct 13, 2019
Accepting new patients

Locations

18396 Brookhurst St
Fountain Valley, CA 92708
Phone (714) 642-5420

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4769 CA Yes

Addresses

Primary practice location

18396 Brookhurst St
Fountain Valley, CA 92708-6704

Mailing address

3214 Conquista Ave
Long Beach, CA 90808-3932
Phone (562) 972-6967

Other providers in Fountain Valley, CA

All providers in Fountain Valley, CA · Speech-Language Assistant in California

Sources for this page

Verify at the official NPI Registry.