Provider Demographics
NPI:1841509825
Name:BROVMAN, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BROVMAN
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 1:2 WASHINGTON SQ
Mailing Address - Street 2:APT 3A
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2041
Mailing Address - Country:US
Mailing Address - Phone:781-504-9645
Mailing Address - Fax:
Practice Address - Street 1:2 WASHINGTON SQ
Practice Address - Street 2:APT 3A
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2041
Practice Address - Country:US
Practice Address - Phone:781-504-9645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16180235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist