Provider Demographics
NPI:1245835701
Name:SANDHILL SPEECH AND LANGUAGE SERVICES, LLC
Entity type:Organization
Organization Name:SANDHILL SPEECH AND LANGUAGE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:KIETZMAN
Authorized Official - Last Name:NAGY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:941-681-0323
Mailing Address - Street 1:14806 MORNING DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-3270
Mailing Address - Country:US
Mailing Address - Phone:941-681-0323
Mailing Address - Fax:
Practice Address - Street 1:14806 MORNING DR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-3270
Practice Address - Country:US
Practice Address - Phone:941-681-0323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech