Provider Demographics
NPI:1922446376
Name:KINATE, SARAH BETH (MA, CCC-SLP/L)
Entity type:Individual
Prefix:MRS
First Name:SARAH BETH
Middle Name:
Last Name:KINATE
Suffix:
Gender:F
Credentials:MA, CCC-SLP/L
Other - Prefix:MRS
Other - First Name:SARAH BETH
Other - Middle Name:
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1401 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-1858
Mailing Address - Country:US
Mailing Address - Phone:217-260-1736
Mailing Address - Fax:
Practice Address - Street 1:1401 S 9TH ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-1858
Practice Address - Country:US
Practice Address - Phone:217-260-1736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010987235Z00000X
IN22005634A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist