Shaw, Sara D.

Shaw, Sara D. is an individual health care provider with primary practice located at 3036 Graham Road , Falls Church VA 22042-6384. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Shaw, Sara D. can be contacted via phone (571) 982-1500.

Contact Information

Primary practice address
3036 Graham Road Falls Church VA 22042-6384
Phone: (571) 982-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 01248 Maryland
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 80315 Texas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1396033791
LBN Legal business name Shaw, Sara D.
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Jul 19th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396033791 NPPES
Texas MEDICAID 285785601

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