Provider Demographics
NPI:1629098694
Name:SCARBOROUGH, SARAH CATHERINE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:SCARBOROUGH
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 SUMTER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3357
Mailing Address - Country:US
Mailing Address - Phone:803-777-2622
Mailing Address - Fax:803-253-4143
Practice Address - Street 1:1224 SUMTER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3357
Practice Address - Country:US
Practice Address - Phone:803-777-2622
Practice Address - Fax:803-253-4143
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2289235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist