Provider Demographics
NPI:1881923332
Name:PALENZUELA, SARAH KATE (SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATE
Last Name:PALENZUELA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1133 COLLEGE AVE
Mailing Address - Street 2:F100
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2770
Mailing Address - Country:US
Mailing Address - Phone:785-539-9669
Mailing Address - Fax:785-539-9779
Practice Address - Street 1:1133 COLLEGE AVE
Practice Address - Street 2:F100
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2770
Practice Address - Country:US
Practice Address - Phone:785-539-9669
Practice Address - Fax:785-539-9779
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3185235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist