Provider Demographics
NPI:1184195299
Name:SWEENEY, SARAH ASHLEY TOLSON (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ASHLEY TOLSON
Last Name:SWEENEY
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 1:2717 MAPLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5521
Mailing Address - Country:US
Mailing Address - Phone:804-543-9505
Mailing Address - Fax:
Practice Address - Street 1:2717 MAPLEWOOD RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-5521
Practice Address - Country:US
Practice Address - Phone:804-543-9505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008727235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist