Provider Demographics
NPI:1164560751
Name:PRESTON, SARAH ELIZABETH (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:PRESTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:PRESTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC, SLP
Mailing Address - Street 1:7126 MOSS LEDGE RUN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34637-7550
Mailing Address - Country:US
Mailing Address - Phone:813-948-3659
Mailing Address - Fax:
Practice Address - Street 1:14100 FIVAY RD STE 210
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7150
Practice Address - Country:US
Practice Address - Phone:727-869-9479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7825235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist