Provider Demographics
NPI:1164825790
Name:CHRIST, SARA BUTTON (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:BUTTON
Last Name:CHRIST
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 1:3356 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-5002
Mailing Address - Country:US
Mailing Address - Phone:330-618-7329
Mailing Address - Fax:
Practice Address - Street 1:9391 STATE ROUTE 56
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:OH
Practice Address - Zip Code:43164-9743
Practice Address - Country:US
Practice Address - Phone:740-986-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.10264235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist