Provider Demographics
NPI:1447416052
Name:LEWERS, SARAH V (SLP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:V
Last Name:LEWERS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 HARGROVE RD
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9444
Mailing Address - Country:US
Mailing Address - Phone:501-679-3340
Mailing Address - Fax:
Practice Address - Street 1:900 N 4TH ST
Practice Address - Street 2:
Practice Address - City:DARDANELLE
Practice Address - State:AR
Practice Address - Zip Code:72834-3104
Practice Address - Country:US
Practice Address - Phone:479-229-4185
Practice Address - Fax:479-229-5016
Is Sole Proprietor?:No
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP949235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist