Provider Demographics
NPI:1184401408
Name:DEMELLO, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DEMELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WINSTON LN
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-5210
Mailing Address - Country:US
Mailing Address - Phone:508-961-7635
Mailing Address - Fax:
Practice Address - Street 1:275 GROVE ST STE 2400
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2273
Practice Address - Country:US
Practice Address - Phone:617-969-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist