| Sarah Domin, CCC-SLP | |
|
15530 Lewis Pl Apt 4731, Addison, TX 75001-6854 | |
| (480) 265-7923 | |
| Not Available |
| Full Name | Sarah Domin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 15530 Lewis Pl Apt 4731, Addison, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669204392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14476033 (Texas) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Domin, CCC-SLP 15530 Lewis Pl Apt 4731, Addison, TX 75001-6854 Ph: (480) 265-7923 | Sarah Domin, CCC-SLP 15530 Lewis Pl Apt 4731, Addison, TX 75001-6854 Ph: (480) 265-7923 |
Shannon Amber Kallsen, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 866-919-3240 | |
Peyton Martin Howells, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15305 Dallas Pkwy Ste 1200, Addison, TX 75001 Phone: 972-851-1022 | |
Elizabeth Grigerek, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 866-919-3240 | |
Ms. Emily Paige Wilson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 866-919-3240 | |
Madison Claire Tramel, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4530 Beltway Dr, Addison, TX 75001 Phone: 214-636-0871 | |
Hannah Lise Leflore, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15305 Dallas Pkwy Ste 1200, Addison, TX 75001 Phone: 972-851-1022 | |
Miss Lauren Kaitlynn Pybus, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 866-919-3240 |