Provider Demographics
NPI:1558199430
Name:GARRAWAY, ARIEL (AUD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:GARRAWAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ARIEL
Other - Middle Name:
Other - Last Name:CASSAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:146 LOG POND LN APT 3018
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-1145
Mailing Address - Country:US
Mailing Address - Phone:689-205-7141
Mailing Address - Fax:
Practice Address - Street 1:7667 FOLSOM BLVD
Practice Address - Street 2:FOLSOM HALL UNIT 1000- OFFICE 188
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826
Practice Address - Country:US
Practice Address - Phone:916-278-4675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU3783231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist