Provider Demographics
NPI:1245570688
Name:DUPLANTIS, SARA LEYTON
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LEYTON
Last Name:DUPLANTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 BRYN MAWR DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2204
Mailing Address - Country:US
Mailing Address - Phone:512-934-0277
Mailing Address - Fax:
Practice Address - Street 1:1611 HEADWAY CIR
Practice Address - Street 2:- BLDG. 2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5160
Practice Address - Country:US
Practice Address - Phone:512-651-5586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020550235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist