Provider Demographics
NPI:1265001739
Name:CHARVAT, SARAH TYLER (MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:TYLER
Last Name:CHARVAT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 CHARLES VIEW WAY APT E
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2122
Mailing Address - Country:US
Mailing Address - Phone:631-745-6558
Mailing Address - Fax:
Practice Address - Street 1:1129 CHARLES VIEW WAY APT E
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2122
Practice Address - Country:US
Practice Address - Phone:631-745-6558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist