Provider Demographics
NPI:1023452588
Name:WINKELMAN, SARA JEAN (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:JEAN
Last Name:WINKELMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BURLWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:BIG LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55309-8620
Mailing Address - Country:US
Mailing Address - Phone:612-979-6991
Mailing Address - Fax:
Practice Address - Street 1:112 BURLWOOD CIR
Practice Address - Street 2:
Practice Address - City:BIG LAKE
Practice Address - State:MN
Practice Address - Zip Code:55309-8620
Practice Address - Country:US
Practice Address - Phone:612-979-6991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4064235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist