Provider Demographics
NPI:1235501222
Name:BOOKHEIMER, SARAH (MS/CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:BOOKHEIMER
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 BREEZEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-6801
Mailing Address - Country:US
Mailing Address - Phone:434-251-6935
Mailing Address - Fax:434-251-6935
Practice Address - Street 1:746 INDIAN TRL
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-4520
Practice Address - Country:US
Practice Address - Phone:276-403-5838
Practice Address - Fax:276-403-5830
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008035235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist