Provider Demographics
NPI:1790327740
Name:PASADYN, SARA (MA CCC-SLP, HAS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:PASADYN
Suffix:
Gender:F
Credentials:MA CCC-SLP, HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29760 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-5069
Mailing Address - Country:US
Mailing Address - Phone:440-225-5996
Mailing Address - Fax:
Practice Address - Street 1:5709 SMITH RD STE A
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2056
Practice Address - Country:US
Practice Address - Phone:440-376-5405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09836235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH.03416OtherHEARING AID SPECIALIST