Individual
SARAH NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1740 SYCAMORE AVE, SUITE A, KINGMAN, AZ 86409-0927
(928) 681-8717
Mailing address
1755 WITTINGTON PL, 175, DALLAS, TX 75234-1927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
111721
TX
235Z00000X
Speech-Language Pathologist
74912
IA
235Z00000X
Speech-Language Pathologist
LL60586665
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP9546
AZ
Other
Enumeration date
01/07/2016
Last updated
03/29/2016
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