Individual
MISS SARAH VANDEREN MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
424 LEWIS HARGETT CIR STE B100, LEXINGTON, KY 40503-3683
(430) 585-9475
Mailing address
3170 LAMAR DRIVE, LEXINGTON, KY 40502
(859) 321-2298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
270332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270332
—
KY
Enumeration date
05/12/2021
Last updated
05/25/2021
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