Provider Demographics
NPI:1689922452
Name:BARTLETT, SARAH LINDSEY (CF-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LINDSEY
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LINDSEY
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CF-SLP
Mailing Address - Street 1:305 SOUTHPOINTE APT F
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-3662
Mailing Address - Country:US
Mailing Address - Phone:309-335-4720
Mailing Address - Fax:
Practice Address - Street 1:7A GINGER CREEK VILLAGE DR.
Practice Address - Street 2:
Practice Address - City:GLEN CARBON
Practice Address - State:IL
Practice Address - Zip Code:62035
Practice Address - Country:US
Practice Address - Phone:618-656-7157
Practice Address - Fax:618-656-0266
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.002364235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist