Provider Demographics
NPI:1083998884
Name:LESSMAN, SARAH SWANN (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SWANN
Last Name:LESSMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6841 VIRGINIA PKWY
Mailing Address - Street 2:STE 103 #170
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5710
Mailing Address - Country:US
Mailing Address - Phone:972-836-9336
Mailing Address - Fax:
Practice Address - Street 1:6841 VIRGINIA PKWY
Practice Address - Street 2:STE 103 #170
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5710
Practice Address - Country:US
Practice Address - Phone:972-836-9336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24727235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist