Provider Demographics
NPI:1265170286
Name:WALKOWSKI, SARAH PISCITELLI
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PISCITELLI
Last Name:WALKOWSKI
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 1:2519 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1425
Mailing Address - Country:US
Mailing Address - Phone:336-306-0980
Mailing Address - Fax:
Practice Address - Street 1:6405 DEERVIEW DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-8801
Practice Address - Country:US
Practice Address - Phone:919-695-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30001678235Z00000X
UT761040235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist