Provider Demographics
NPI:1871218354
Name:CRUSHA, SARA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:CRUSHA
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 1:255 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2910
Mailing Address - Country:US
Mailing Address - Phone:717-516-1505
Mailing Address - Fax:
Practice Address - Street 1:1926 MARKET ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4701
Practice Address - Country:US
Practice Address - Phone:717-506-5668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist