Provider Demographics
NPI:1275789109
Name:RUSHING, SARAH ALLISON (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ALLISON
Last Name:RUSHING
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ALLISON
Other - Last Name:GORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:2809 HIGHWAY 104
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71602
Mailing Address - Country:US
Mailing Address - Phone:870-692-0443
Mailing Address - Fax:
Practice Address - Street 1:1020 WEST HOLLAND AVENUE
Practice Address - Street 2:
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602
Practice Address - Country:US
Practice Address - Phone:870-247-3698
Practice Address - Fax:870-247-3707
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#2219235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist