Provider Demographics
NPI:1265043400
Name:PEELE, SARA (SLP-CFY)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:PEELE
Suffix:
Gender:F
Credentials:SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 HAMILTON AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-1739
Mailing Address - Country:US
Mailing Address - Phone:614-849-2436
Mailing Address - Fax:
Practice Address - Street 1:7667 SUMMERLIN BLVD
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45044-9377
Practice Address - Country:US
Practice Address - Phone:513-874-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist