Basic Information
| Provider Information | |||||||||
| NPI: | 1104467331 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAGER | ||||||||
| FirstName: | VALERIE | ||||||||
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| Credential: | MA, CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6500 E SENECA TPKE APT 6 | ||||||||
| Address2: | |||||||||
| City: | JAMESVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130784516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7165075924 | ||||||||
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| Practice Location | |||||||||
| Address1: | 750 E ADAMS ST # 2104 | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 132102306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154645820 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2019 | ||||||||
| LastUpdateDate: | 09/29/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 028895 | NY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.