Provider Demographics
NPI:1063306983
Name:CHERNOFF, SARAH ROSE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSE
Last Name:CHERNOFF
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4318 1/2 MELBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-4663
Mailing Address - Country:US
Mailing Address - Phone:310-962-9533
Mailing Address - Fax:
Practice Address - Street 1:3939 LANDMARK ST
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2315
Practice Address - Country:US
Practice Address - Phone:310-962-9533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36983235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist