Provider Demographics
NPI:1467015925
Name:HOSKINS, SARAH JANE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:DEWEESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1373 KESSLER AVE
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-4753
Mailing Address - Country:US
Mailing Address - Phone:586-907-3802
Mailing Address - Fax:
Practice Address - Street 1:1373 KESSLER AVE
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-4753
Practice Address - Country:US
Practice Address - Phone:586-907-3802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101000169235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist