Provider Demographics
NPI:1285855296
Name:FORSTER, SARAH BOVAIRD (SLP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BOVAIRD
Last Name:FORSTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HAVEN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2958
Mailing Address - Country:US
Mailing Address - Phone:781-944-2405
Mailing Address - Fax:
Practice Address - Street 1:2 HAVEN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2958
Practice Address - Country:US
Practice Address - Phone:781-944-2405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7973235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist