Provider Demographics
NPI:1427880384
Name:LEDBETTER, SARAH (SLP)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:LEDBETTER
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 1:501 OLD GREENVILLE HWY STE 8
Mailing Address - Street 2:PMB 305
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29631-1788
Mailing Address - Country:US
Mailing Address - Phone:864-508-7114
Mailing Address - Fax:
Practice Address - Street 1:501 OLD GREENVILLE HWY STE 8
Practice Address - Street 2:PMB 305
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-1788
Practice Address - Country:US
Practice Address - Phone:864-508-7114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5770235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist