Provider Demographics
NPI:1235532672
Name:SORROW, SEAN P (LHAS)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:P
Last Name:SORROW
Suffix:
Gender:M
Credentials:LHAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19991 HALL RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-4254
Mailing Address - Country:US
Mailing Address - Phone:586-263-4401
Mailing Address - Fax:586-263-4401
Practice Address - Street 1:19991 HALL RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-4254
Practice Address - Country:US
Practice Address - Phone:586-263-4401
Practice Address - Fax:586-263-4401
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501006972237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist