Provider Demographics
NPI:1902056344
Name:TANCEVSKI, SARAH ELIZABETH (AUD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:TANCEVSKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 COUNTY LINE RD W
Mailing Address - Street 2:SUITE 115
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6080
Mailing Address - Country:US
Mailing Address - Phone:614-891-9190
Mailing Address - Fax:
Practice Address - Street 1:387 COUNTY LINE RD W
Practice Address - Street 2:SUITE 115
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6080
Practice Address - Country:US
Practice Address - Phone:614-891-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01654231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHI4248452Medicare PIN