Individual
SARAH JANELL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CF
Contact information
Practice address
982 EASTERN PKWY, LOUISVILLE, KY 40217-1566
(502) 635-6397
Mailing address
982 EASTERN PKWY, LOUISVILLE, KY 40217-1566
(502) 635-6397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
172861
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
KY
Enumeration date
05/02/2017
Last updated
03/30/2021
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