Provider Demographics
NPI:1689055584
Name:SHARP, SARAH ELIZABETH
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:SHARP
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 1:75 RIVERCHASE BLVD
Mailing Address - Street 2:APT 124
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-9082
Mailing Address - Country:US
Mailing Address - Phone:540-797-4595
Mailing Address - Fax:
Practice Address - Street 1:75 RIVERCHASE BLVD
Practice Address - Street 2:APT 124
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-9082
Practice Address - Country:US
Practice Address - Phone:540-797-4595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5773235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist