Provider Demographics
NPI:1043790082
Name:SHEEDY, SARAH WISE
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:WISE
Last Name:SHEEDY
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 1:22827 ROBERTS RUN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4471
Mailing Address - Country:US
Mailing Address - Phone:281-383-9994
Mailing Address - Fax:281-383-9995
Practice Address - Street 1:22827 ROBERTS RUN LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4471
Practice Address - Country:US
Practice Address - Phone:281-383-9994
Practice Address - Fax:281-383-9995
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19825235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist