Basic Information
| Provider Information | |||||||||
| NPI: | 1487063962 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORTORICI | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | CLARE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.S., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1090 NE GATEWAY CT NE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | CONCORD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280252414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367250222 | ||||||||
| FaxNumber: | 8777250222 | ||||||||
| Practice Location | |||||||||
| Address1: | 1090 NE GATEWAY CT NE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | CONCORD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280252414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7044039100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2014 | ||||||||
| LastUpdateDate: | 06/29/2016 | ||||||||
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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 | NC | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.