Provider Demographics
NPI:1356462428
Name:GERMAN, SARAH R (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:GERMAN
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 1:8620 SHERINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2616
Mailing Address - Country:US
Mailing Address - Phone:443-286-7099
Mailing Address - Fax:410-529-1393
Practice Address - Street 1:8620 SHERINGTON RD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-2616
Practice Address - Country:US
Practice Address - Phone:443-286-7099
Practice Address - Fax:410-529-1393
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04637235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDAG13-0000OtherCAREFIRST
MD872714OtherCIGNA HMO
MD8742714OtherCIGNA ACCESS PLUS
DCAG13-0000OtherCAREFIRST
MD8742714OtherCIGNA PPO
MD053213400OtherMEDICAL ASSISTANCE
MD8742714OtherCIGNA OPEN ACCESS