Provider Demographics
NPI:1043494776
Name:ROESLER, SARAH A (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:A
Last Name:ROESLER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 K ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352-2165
Mailing Address - Country:US
Mailing Address - Phone:402-729-5041
Mailing Address - Fax:402-729-6392
Practice Address - Street 1:703 K ST
Practice Address - Street 2:
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352-2165
Practice Address - Country:US
Practice Address - Phone:402-729-5041
Practice Address - Fax:402-729-6392
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2012004632235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist