Provider Demographics
NPI:1235953431
Name:GUDE, SARAH CHRISTINE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CHRISTINE
Last Name:GUDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 BROOK MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1751
Mailing Address - Country:US
Mailing Address - Phone:410-952-5188
Mailing Address - Fax:
Practice Address - Street 1:900 LONDON BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2236
Practice Address - Country:US
Practice Address - Phone:757-393-6864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11062235Z00000X
NC30003223235Z00000X
VA2202011697235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist