Provider Demographics
NPI:1013243435
Name:BRUNDIGE, SARAH DRISCOLL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:DRISCOLL
Last Name:BRUNDIGE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:DRISCOLL
Other - Last Name:ABI-KHEIRS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:15 HERBERT RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8740
Mailing Address - Country:US
Mailing Address - Phone:617-921-2313
Mailing Address - Fax:
Practice Address - Street 1:15 HERBERT RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-8740
Practice Address - Country:US
Practice Address - Phone:617-921-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist