Provider Demographics
NPI:1386869170
Name:HOOGE, SARAH M (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:HOOGE
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 1:8407 PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7131
Mailing Address - Country:US
Mailing Address - Phone:225-936-8793
Mailing Address - Fax:225-658-6486
Practice Address - Street 1:8407 PIN OAK DR
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7131
Practice Address - Country:US
Practice Address - Phone:225-936-8793
Practice Address - Fax:225-658-6486
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5337235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist