Provider Demographics
NPI:1962743344
Name:HALTON, SARA C (LL60327063)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:C
Last Name:HALTON
Suffix:
Gender:F
Credentials:LL60327063
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 1/2 N FOREST ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5315
Mailing Address - Country:US
Mailing Address - Phone:360-220-3937
Mailing Address - Fax:
Practice Address - Street 1:703 1/2 N FOREST ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5315
Practice Address - Country:US
Practice Address - Phone:360-220-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60327063235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist