Provider Demographics
NPI:1518747674
Name:MORENO, SARAI (SLP-A)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:
Last Name:MORENO
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 FLUSHING QUAIL RD STE 500
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2674
Mailing Address - Country:US
Mailing Address - Phone:661-393-4022
Mailing Address - Fax:661-829-1948
Practice Address - Street 1:9500 FLUSHING QUAIL RD STE 500
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2674
Practice Address - Country:US
Practice Address - Phone:661-393-4022
Practice Address - Fax:661-829-1948
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP58912355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant