Provider Demographics
NPI:1508174780
Name:HERRINGTON, SARAH CRAVER (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CRAVER
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:CRAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:160 IVY CREEK LN UNIT 400
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5135
Mailing Address - Country:US
Mailing Address - Phone:434-239-6630
Mailing Address - Fax:
Practice Address - Street 1:101 LEROY BOWEN DR STE A
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5093
Practice Address - Country:US
Practice Address - Phone:434-239-6630
Practice Address - Fax:434-239-6640
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006738235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist