Provider Demographics
NPI:1144406174
Name:KNIPP, SARAH JANE (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JANE
Last Name:KNIPP
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:KNIPP-SCHLOTZHAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 HIGHWAY 50 E
Mailing Address - Street 2:
Mailing Address - City:TIPTON
Mailing Address - State:MO
Mailing Address - Zip Code:65081-8606
Mailing Address - Country:US
Mailing Address - Phone:660-433-2213
Mailing Address - Fax:660-433-2899
Practice Address - Street 1:305 HIGHWAY 50 E
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:MO
Practice Address - Zip Code:65081-8606
Practice Address - Country:US
Practice Address - Phone:660-433-2213
Practice Address - Fax:660-433-2899
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002002057235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO467567509Medicaid