Provider Demographics
NPI:1245794924
Name:CARNE, SARAH L (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:CARNE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 VALLEY STREAM PARK
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-9051
Mailing Address - Country:US
Mailing Address - Phone:570-332-5718
Mailing Address - Fax:
Practice Address - Street 1:154 VALLEY STREAM PARK
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-9051
Practice Address - Country:US
Practice Address - Phone:570-332-5718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL015060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist