Provider Demographics
NPI:1164807285
Name:ANDREOZZI, SARA
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:ANDREOZZI
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 1:115 WOODBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1327
Mailing Address - Country:US
Mailing Address - Phone:401-884-3107
Mailing Address - Fax:
Practice Address - Street 1:441 LONG HILL RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-4149
Practice Address - Country:US
Practice Address - Phone:860-326-5518
Practice Address - Fax:860-326-5723
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT438237700000X
RI275237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist