Individual
SARAH JO CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
402 W BURLINGTON AVE, STE 200, FAIRFIELD, IA 52556
(641) 469-3130
(641) 469-3131
Mailing address
402 W BURLINGTON AVE, STE 200, FAIRFIELD, IA 52556
(641) 469-3130
(641) 469-3131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
091485
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091485
IA SLP LICENSE
IA
Enumeration date
02/07/2020
Last updated
02/07/2020
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