Provider Demographics
NPI:1134320419
Name:ANGERMAN, SARAH KAY (CCC-A, PHD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KAY
Last Name:ANGERMAN
Suffix:
Gender:F
Credentials:CCC-A, PHD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KAY
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5129 14TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:164 PILLSBURY DR SE
Practice Address - Street 2:115 SHEVLIN HALL
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0279
Practice Address - Country:US
Practice Address - Phone:612-624-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6471231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist