Podshivaylov, Sara

Podshivaylov, Sara is an individual health care provider with primary practice located at 9346 Oak Ave , Waconia MN 55387-9422. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Podshivaylov, Sara can be contacted via phone (952) 223-2506.

Contact Information

Primary practice address
9346 Oak Ave Waconia MN 55387-9422
Phone: (952) 223-2506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1811522360
LBN Legal business name Podshivaylov, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2020
Last updated Jan 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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