Provider Demographics
NPI:1508026519
Name:OLCHANOWSKI, SARAH LV (AUD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LV
Last Name:OLCHANOWSKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:VARRICCHIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:6700 WASHINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3405
Mailing Address - Country:US
Mailing Address - Phone:800-328-8602
Mailing Address - Fax:952-285-3980
Practice Address - Street 1:27 HARTFORD TPKE STE 83
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066
Practice Address - Country:US
Practice Address - Phone:860-646-7900
Practice Address - Fax:860-646-7792
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400031297OtherMEDICARE