Provider Demographics
NPI:1619216686
Name:DUFOUR, SARAH P (SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:P
Last Name:DUFOUR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:P
Other - Last Name:KRIPPENSTAPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:2547 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9170
Mailing Address - Country:US
Mailing Address - Phone:513-289-7272
Mailing Address - Fax:
Practice Address - Street 1:640 ENTERPRISE DR
Practice Address - Street 2:STE C
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9440
Practice Address - Country:US
Practice Address - Phone:614-433-0132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2013113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist