Provider Demographics
NPI:1285854422
Name:PAYTON HARVIN, SARAH (SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PAYTON HARVIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:PAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 POINTER TRL W
Mailing Address - Street 2:SUITE E
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-2234
Mailing Address - Country:US
Mailing Address - Phone:479-471-1290
Mailing Address - Fax:479-474-5182
Practice Address - Street 1:11 POINTER TRL W
Practice Address - Street 2:SUITE E
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-2234
Practice Address - Country:US
Practice Address - Phone:479-471-1290
Practice Address - Fax:479-474-5182
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2165235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist