Provider Demographics
NPI:1275856312
Name:FRANCISCO, SARAH O (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:O
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4517 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7059
Mailing Address - Country:US
Mailing Address - Phone:802-876-7938
Mailing Address - Fax:
Practice Address - Street 1:4517 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7059
Practice Address - Country:US
Practice Address - Phone:802-876-7938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
09145543OtherASHA (AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION)