Provider Demographics
NPI:1235319740
Name:LINGO, SARAH OLIVIA (AUD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:OLIVIA
Last Name:LINGO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N WABASH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-2696
Mailing Address - Country:US
Mailing Address - Phone:765-651-4278
Mailing Address - Fax:765-664-6445
Practice Address - Street 1:330 N WABASH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-2696
Practice Address - Country:US
Practice Address - Phone:765-651-4278
Practice Address - Fax:765-664-6445
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002408A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist