Provider Demographics
NPI:1588173660
Name:SMITH, SARAH CATHERINE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CATHERINE
Last Name:SMITH
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 1:2879 HIDDEN FALLS DR
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4538
Mailing Address - Country:US
Mailing Address - Phone:806-773-7432
Mailing Address - Fax:
Practice Address - Street 1:2879 HIDDEN FALLS DR
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4538
Practice Address - Country:US
Practice Address - Phone:806-773-7432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist