Provider Demographics
NPI:1164733135
Name:GERBER, SARAH (CCC-SLP, TSLD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GERBER
Suffix:
Gender:F
Credentials:CCC-SLP, TSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 E 18TH ST
Mailing Address - Street 2:APT 3E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5343
Mailing Address - Country:US
Mailing Address - Phone:718-339-0394
Mailing Address - Fax:
Practice Address - Street 1:1305 E 18TH ST
Practice Address - Street 2:APT 3E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5343
Practice Address - Country:US
Practice Address - Phone:718-339-0394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018569-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist