Provider Demographics
NPI:1265043400
Name:PEELE, SARA (SLP-CCC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:PEELE
Suffix:
Gender:
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 MAIN ST APT 9
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-7662
Mailing Address - Country:US
Mailing Address - Phone:614-849-2436
Mailing Address - Fax:
Practice Address - Street 1:7667 SUMMERLIN BLVD
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45044-9377
Practice Address - Country:US
Practice Address - Phone:513-874-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No376J00000XNursing Service Related ProvidersHomemaker