Individual provider · Type 1 NPI

Sara J. Prom

Speech-Language Pathologist · Big Lake, MN

NPI number 1174464200 Active

Practice location

17901 205th Ave NW
Big Lake, MN 55309-4659

Call (763) 262-8100 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X356680 (MN)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1174464200

Sara J. Prom's National Provider Identifier is 1174464200, issued on Apr 2, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Big Lake, MN. The record was last updated on Apr 2, 2026.