Provider Demographics
NPI:1760792121
Name:FLEISCHER, SARA (MA, SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:FLEISCHER
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 VINTAGE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3695
Mailing Address - Country:US
Mailing Address - Phone:732-703-7853
Mailing Address - Fax:
Practice Address - Street 1:112 VINTAGE CIR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3695
Practice Address - Country:US
Practice Address - Phone:732-703-7853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist