Provider Demographics
NPI:1124407366
Name:PIEH, SARA (AUD)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:PIEH
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:CHIAVACCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2810 HAMPTON COURT RD N
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-4690
Mailing Address - Country:US
Mailing Address - Phone:207-944-0710
Mailing Address - Fax:
Practice Address - Street 1:2810 HAMPTON COURT RD N
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-4690
Practice Address - Country:US
Practice Address - Phone:207-944-0710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist