Provider Demographics
NPI:1417351032
Name:FALLI, SARA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:FALLI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24516 SLEEPY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-4040
Mailing Address - Country:US
Mailing Address - Phone:815-782-5228
Mailing Address - Fax:
Practice Address - Street 1:24516 SLEEPY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-4040
Practice Address - Country:US
Practice Address - Phone:815-782-5228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008370235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist