Provider Demographics
NPI:1992881676
Name:RENFRO, SARAH N (M S CCC SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:N
Last Name:RENFRO
Suffix:
Gender:F
Credentials:M S CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:NOCONA
Mailing Address - State:TX
Mailing Address - Zip Code:76255-2104
Mailing Address - Country:US
Mailing Address - Phone:940-531-8821
Mailing Address - Fax:
Practice Address - Street 1:200 GRAYSON ST
Practice Address - Street 2:
Practice Address - City:NOCONA
Practice Address - State:TX
Practice Address - Zip Code:76255-2114
Practice Address - Country:US
Practice Address - Phone:194-053-1882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109901235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist