Provider Demographics
NPI:1538669569
Name:BARNES, SARA (MS, CF SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:MS, CF SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 WILL CLAYTON PKWY APT 13107
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4782
Mailing Address - Country:US
Mailing Address - Phone:832-360-6558
Mailing Address - Fax:
Practice Address - Street 1:22500 EAGLE DR
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-3422
Practice Address - Country:US
Practice Address - Phone:281-577-8670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120346235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist