Provider Demographics
NPI:1922214105
Name:MURPHY, SARA OSIER (MSLP)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:OSIER
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSLP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ELIZABETH
Other - Last Name:OSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1104 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3001
Mailing Address - Country:US
Mailing Address - Phone:412-414-6413
Mailing Address - Fax:
Practice Address - Street 1:REHAB DEPT. @ FALCONS LANDING
Practice Address - Street 2:20522 FALCONS LANDING CIRCLE
Practice Address - City:POTOMAC FALLS
Practice Address - State:VA
Practice Address - Zip Code:20165
Practice Address - Country:US
Practice Address - Phone:412-414-6413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006177235Z00000X
PASL007936235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12044764OtherAMERICAN SPEECH HEARING ASSOCIATION
PASL007936OtherSTATE LICENSE NO.