Provider Demographics
NPI:1972375897
Name:DRANE, SARAH JACLYN
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JACLYN
Last Name:DRANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 LENOX BRG
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-3358
Mailing Address - Country:US
Mailing Address - Phone:225-719-7950
Mailing Address - Fax:
Practice Address - Street 1:1607 MARTIN L KING ST S
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-5443
Practice Address - Country:US
Practice Address - Phone:318-283-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA72602355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant