Provider Demographics
NPI:1508827387
Name:DELAUTER, SARAH M (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:DELAUTER
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4231
Mailing Address - Country:US
Mailing Address - Phone:419-724-8368
Mailing Address - Fax:419-724-8375
Practice Address - Street 1:3450 W CENTRAL AVE
Practice Address - Street 2:SUITE 134
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1416
Practice Address - Country:US
Practice Address - Phone:419-534-3111
Practice Address - Fax:419-534-3113
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01419231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist