Provider Demographics
NPI:1043417843
Name:CARNEVALE FEARON, SARA L (AUD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:CARNEVALE FEARON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:L
Other - Last Name:CARNEVALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:989 RESERVOIR AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-5138
Mailing Address - Country:US
Mailing Address - Phone:401-585-5439
Mailing Address - Fax:401-589-5639
Practice Address - Street 1:989 RESERVOIR AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-5138
Practice Address - Country:US
Practice Address - Phone:401-585-5439
Practice Address - Fax:401-589-5639
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2015-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist