Provider Demographics
NPI:1972648426
Name:KAUFMAN, SARAH (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:PERKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:6977 PROFESSIONAL PARKWAY EAST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240
Mailing Address - Country:US
Mailing Address - Phone:941-758-3140
Mailing Address - Fax:813-654-6644
Practice Address - Street 1:6977 PROFESSIONAL PARKWAY EAST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240
Practice Address - Country:US
Practice Address - Phone:941-758-3140
Practice Address - Fax:813-654-6644
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
FLSZ4057235Z00000X
SA9286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL812008100Medicaid
FL891795700Medicaid
FL891795700Medicaid