Provider Demographics
NPI:1194991877
Name:THOMAS, SARAH ANN (AUD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:BORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3635 VISTA AVE
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2539
Mailing Address - Country:US
Mailing Address - Phone:314-977-5110
Mailing Address - Fax:314-977-5119
Practice Address - Street 1:3635 VISTA AVE
Practice Address - Street 2:SUITE 312
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-2539
Practice Address - Country:US
Practice Address - Phone:314-977-5110
Practice Address - Fax:314-977-5119
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist