Provider Demographics
NPI:1447083258
Name:BATEMAN, SARA (MA CF-SLP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BATEMAN
Suffix:
Gender:
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35152 BALD EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4421
Mailing Address - Country:US
Mailing Address - Phone:440-487-0014
Mailing Address - Fax:
Practice Address - Street 1:8700 HENDRICKS RD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-2138
Practice Address - Country:US
Practice Address - Phone:440-257-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20242820-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist