Provider Demographics
NPI:1821479346
Name:GOLDKAMP, SARAH G (AUD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:G
Last Name:GOLDKAMP
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:C
Other - Last Name:GARBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:128 CHESTERFIELD COMMONS RD E
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1440
Mailing Address - Country:US
Mailing Address - Phone:636-778-1168
Mailing Address - Fax:314-219-1852
Practice Address - Street 1:128 CHESTERFIELD COMMONS RD E
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1440
Practice Address - Country:US
Practice Address - Phone:636-778-1168
Practice Address - Fax:314-219-1852
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015020776237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter