Provider Demographics
NPI:1063878551
Name:HAYES, SARAH LYNNE (MA CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LYNNE
Last Name:HAYES
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3433
Mailing Address - Country:US
Mailing Address - Phone:318-791-5413
Mailing Address - Fax:
Practice Address - Street 1:1703 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3433
Practice Address - Country:US
Practice Address - Phone:318-791-5413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-13
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3165235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist