Sarah Marie Petullo in Waverly - Speech-language Pathologist
Sarah Marie Petullo - NPI 1023207883
Sarah Marie Petullo is a Speech-language Pathologist in Waverly, Iowa. Sarah Marie Petullo practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Sarah Marie Petullo is 1023207883. The last update date is 2007-10-17.
Sarah Marie Petullo's current location address is 1810 4th St Sw Ste 103a, Waverly, Iowa. You can contact this provider via phone number 3193526400 and fax number 3193524655. The mailing address for Sarah Marie Petullo is 1810 4th St Sw Ste 103a, Waverly, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sarah Marie Petullo |
|---|---|
| Address | 1810 4th St Sw Ste 103a, Waverly, Iowa |
| Phone Number | 3193526400 |
| Fax Number | 3193524655 |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1023207883 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 1810 4th St Sw Ste 103a |
|---|---|
| City | Waverly |
| State | Iowa (IA) |
| Post Code | 506774389 |
| Phone Number | 3193526400 |
| Fax Number | 3193524655 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 1796 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the Sarah Marie Petullo's unique identification number?
The Sarah Marie Petullo has been assigned the NPI (National Provider Identifier) Number 1023207883 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Sarah Marie Petullo's physical address?
The Sarah Marie Petullo is physically located at 1810 4Th St Sw Ste 103A, in the city of Waverly, IA, with the postal code 506774389.
What is Sarah Marie Petullo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sarah Marie Petullo is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
On what date did the Sarah Marie Petullo receive the assignment of its 1023207883 from the Centers for Medicare & Medicaid Services?
The Sarah Marie Petullo was issued its 1023207883 by the Centers for Medicare & Medicaid Services on 2007-10-17.
When was the information regarding Sarah Marie Petullo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sarah Marie Petullo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-17.