Provider Demographics
NPI:1528189354
Name:DOBBINS, SARAH C (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:C
Last Name:DOBBINS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5847 W BOULDER CREEK CT
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-8620
Mailing Address - Country:US
Mailing Address - Phone:317-509-4500
Mailing Address - Fax:317-861-5302
Practice Address - Street 1:5847 W BOULDER CREEK CT
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-8620
Practice Address - Country:US
Practice Address - Phone:317-509-4500
Practice Address - Fax:317-861-5302
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002732A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist