Provider Demographics
NPI:1700494044
Name:COLEMAN, SARAH MARIE (MS ED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MS ED, CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:413 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-5436
Mailing Address - Country:US
Mailing Address - Phone:315-271-1718
Mailing Address - Fax:
Practice Address - Street 1:929 YORK ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-3929
Practice Address - Country:US
Practice Address - Phone:315-792-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030944235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist