Provider Demographics
NPI:1487011334
Name:SUNG, SARAH (MA, CF-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SUNG
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:EASLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10716 LA TUNA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-2130
Mailing Address - Country:US
Mailing Address - Phone:818-252-5863
Mailing Address - Fax:818-252-6450
Practice Address - Street 1:10716 LA TUNA CANYON RD
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-2130
Practice Address - Country:US
Practice Address - Phone:818-252-5863
Practice Address - Fax:818-252-6450
Is Sole Proprietor?:No
Enumeration Date:2016-01-23
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPE10303235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist