Provider Demographics
NPI:1467095091
Name:SABATO, JOANNE (MA-CCC,SLP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SABATO
Suffix:
Gender:F
Credentials:MA-CCC,SLP
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:SABATO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:243 TRESSER BLVD FL 17
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-3436
Mailing Address - Country:US
Mailing Address - Phone:914-403-8470
Mailing Address - Fax:
Practice Address - Street 1:243 TRESSER BLVD FL 17
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-3436
Practice Address - Country:US
Practice Address - Phone:914-403-8470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004344235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist