Provider Demographics
NPI:1912107293
Name:CASOY, SARA B (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:CASOY
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:CASOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD
Mailing Address - Street 1:1777 SENTRY PKWY W
Mailing Address - Street 2:STE 100
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2227
Mailing Address - Country:US
Mailing Address - Phone:610-275-6153
Mailing Address - Fax:610-278-7709
Practice Address - Street 1:306 W LOGAN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2935
Practice Address - Country:US
Practice Address - Phone:610-275-6153
Practice Address - Fax:610-278-7709
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT00676L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist