Provider Demographics
NPI:1992019061
Name:KOLAKOSKI, SARAH A (SLP)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:A
Last Name:KOLAKOSKI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 S WINCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:SWANZEY
Mailing Address - State:NH
Mailing Address - Zip Code:03446-3213
Mailing Address - Country:US
Mailing Address - Phone:603-352-3383
Mailing Address - Fax:
Practice Address - Street 1:31 S WINCHESTER ST
Practice Address - Street 2:
Practice Address - City:SWANZEY
Practice Address - State:NH
Practice Address - Zip Code:03446-3213
Practice Address - Country:US
Practice Address - Phone:603-352-3383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1211235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist