Provider Demographics
NPI:1356717268
Name:WAARVIK, SARAH LYNN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:WAARVIK
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 S STREVELL AVE
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-4836
Mailing Address - Country:US
Mailing Address - Phone:406-370-0116
Mailing Address - Fax:
Practice Address - Street 1:611 S STREVELL AVE
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-4836
Practice Address - Country:US
Practice Address - Phone:406-370-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist