Provider Demographics
NPI:1043932098
Name:KAZEM, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KAZEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5856 SWEENEY TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2267
Mailing Address - Country:US
Mailing Address - Phone:248-250-4340
Mailing Address - Fax:
Practice Address - Street 1:5856 SWEENEY TRL
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2267
Practice Address - Country:US
Practice Address - Phone:248-250-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist