Provider Demographics
NPI:1609506674
Name:LINGEFELT, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LINGEFELT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 MITCHINER RD
Mailing Address - Street 2:
Mailing Address - City:EPPS
Mailing Address - State:LA
Mailing Address - Zip Code:71237-9020
Mailing Address - Country:US
Mailing Address - Phone:318-614-2587
Mailing Address - Fax:
Practice Address - Street 1:340 LONEWA LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-6521
Practice Address - Country:US
Practice Address - Phone:318-372-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist