Provider Demographics
NPI:1477004521
Name:MURRELL, SARINA ELISE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARINA
Middle Name:ELISE
Last Name:MURRELL
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 1:1017 EL CAMINO REAL # 456
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1691
Mailing Address - Country:US
Mailing Address - Phone:650-733-3599
Mailing Address - Fax:
Practice Address - Street 1:1017 EL CAMINO REAL # 456
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1691
Practice Address - Country:US
Practice Address - Phone:650-733-3599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60685242235Z00000X
CA29507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist