Provider Demographics
NPI:1215108469
Name:BELCHER, SARAH AH (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:AH
Last Name:BELCHER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:HALLORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:14 WHITETAIL WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1130
Mailing Address - Country:US
Mailing Address - Phone:774-364-0335
Mailing Address - Fax:978-540-4475
Practice Address - Street 1:14 WHITETAIL WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1130
Practice Address - Country:US
Practice Address - Phone:774-364-0335
Practice Address - Fax:978-540-4475
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6298235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASP0104OtherBLUE SHIELD