Provider Demographics
NPI:1053036137
Name:GIAMMALVA, SARAH CASE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CASE
Last Name:GIAMMALVA
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 1:1400 JANWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7231
Mailing Address - Country:US
Mailing Address - Phone:469-752-3276
Mailing Address - Fax:
Practice Address - Street 1:1400 JANWOOD DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7231
Practice Address - Country:US
Practice Address - Phone:469-752-3276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
118476235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist