Provider Demographics
NPI:1841857133
Name:TRIMBLE, SARAH RENN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RENN
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11214 GOPHER DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-8254
Mailing Address - Country:US
Mailing Address - Phone:215-804-6890
Mailing Address - Fax:
Practice Address - Street 1:1425 PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1386
Practice Address - Country:US
Practice Address - Phone:717-262-2373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist