Provider Demographics
NPI:1902171598
Name:POSES, SARA B (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:POSES
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 MALAGA AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6322
Mailing Address - Country:US
Mailing Address - Phone:305-803-8780
Mailing Address - Fax:
Practice Address - Street 1:4045 MALAGA AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-6322
Practice Address - Country:US
Practice Address - Phone:305-803-8780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA-0004251235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist