Provider Demographics
NPI:1609254614
Name:LOLLAR, SARAH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:LOLLAR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ILENE
Other - Last Name:BUTCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2052 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-7832
Mailing Address - Country:US
Mailing Address - Phone:325-437-8232
Mailing Address - Fax:325-672-1376
Practice Address - Street 1:2052 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-7832
Practice Address - Country:US
Practice Address - Phone:325-437-8232
Practice Address - Fax:325-672-1376
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13518235Z00000X
TX114704235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist