Sara J. Prom

Speech-Language Pathologist · Big Lake, MN

Individual Active NPI

NPI number 1174464200

Practice location

17901 205TH Ave NW
Big Lake, MN 55309-4659
Phone
(763) 262-8100

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NPI record

NPI
1174464200
Entity type
Individual (Type 1)
Enumeration date
April 2, 2026
Last updated
April 2, 2026
Certified
April 2, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 356680 MN

About Sara Prom

Sara J. Prom is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 17901 205TH Ave NW, Big Lake, MN 55309-4659. The NPI number 1174464200 was assigned on April 2, 2026 and the record was last updated on April 2, 2026.

Sara Prom lists a license in the registry: #356680 (MN) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sara J. Prom?

The NPI number is 1174464200.

What is the phone number of Sara Prom?

The phone number listed for the practice location is (763) 262-8100.

Where is Sara Prom located?

17901 205TH Ave NW, Big Lake, MN 55309-4659.

What is the taxonomy code for Sara Prom?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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