Provider Demographics
NPI:1205395217
Name:DUBROW, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DUBROW
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 1:526 S 13TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1194
Mailing Address - Country:US
Mailing Address - Phone:404-915-4514
Mailing Address - Fax:
Practice Address - Street 1:526 S 13TH ST APT B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1194
Practice Address - Country:US
Practice Address - Phone:404-915-4514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist