Provider Demographics
NPI:1134659063
Name:BURCH-WILHELM, SARA KAYE
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:KAYE
Last Name:BURCH-WILHELM
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 1:950 SE REGATTA DR # 101
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5451
Mailing Address - Country:US
Mailing Address - Phone:360-679-1039
Mailing Address - Fax:360-679-6646
Practice Address - Street 1:950 SE REGATTA DR # 101
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5451
Practice Address - Country:US
Practice Address - Phone:360-679-1039
Practice Address - Fax:360-679-6646
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist