Provider Demographics
NPI:1033636410
Name:LIGGIN, SARA ELIZABETH (SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:LIGGIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ELIZABETH
Other - Last Name:HUNEYCUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 PINTO TRL
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9772
Mailing Address - Country:US
Mailing Address - Phone:870-245-7029
Mailing Address - Fax:
Practice Address - Street 1:334 SOUTHSIDE RD
Practice Address - Street 2:
Practice Address - City:BEE BRANCH
Practice Address - State:AR
Practice Address - Zip Code:72013-9137
Practice Address - Country:US
Practice Address - Phone:870-245-7029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist