Provider Demographics
NPI:1285996231
Name:CASE-PRICE, SARAH ELISE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELISE
Last Name:CASE-PRICE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-6244
Mailing Address - Country:US
Mailing Address - Phone:601-818-4377
Mailing Address - Fax:
Practice Address - Street 1:604 ADELINE ST
Practice Address - Street 2:SUITE B
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-3842
Practice Address - Country:US
Practice Address - Phone:601-818-4377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2948235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist