Provider Demographics
NPI:1033231956
Name:RELEFORD, SARA EILEEN LYONS (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:EILEEN LYONS
Last Name:RELEFORD
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-2528
Mailing Address - Country:US
Mailing Address - Phone:913-789-9709
Mailing Address - Fax:
Practice Address - Street 1:4221 OXFORD RD
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-2528
Practice Address - Country:US
Practice Address - Phone:913-789-9709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2125235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist