Provider Demographics
NPI:1508931411
Name:SCHNEIDER, SARAH S (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:SCHNEIDER
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 1:55 EVENCHANCE RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-4170
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:INTERSECTION RTS. 4 AND 12
Practice Address - Street 2:
Practice Address - City:TAFTSVILLE
Practice Address - State:VT
Practice Address - Zip Code:05073
Practice Address - Country:US
Practice Address - Phone:802-457-4487
Practice Address - Fax:802-457-9428
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1095235Z00000X
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT00069515OtherBLUE CROSS BLUE SHIELD
NH66Y010808NH01OtherANTHEM BLUE CROSS BLUE SH