Provider Demographics
NPI:1114396728
Name:HAMILL, SARA CHRISTINE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:CHRISTINE
Last Name:HAMILL
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 1:330 S 127TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2310
Mailing Address - Country:US
Mailing Address - Phone:402-697-1433
Mailing Address - Fax:402-697-1273
Practice Address - Street 1:330 S 127TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2310
Practice Address - Country:US
Practice Address - Phone:402-697-1433
Practice Address - Fax:402-697-1273
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2004008104235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist