Provider Demographics
NPI:1689944266
Name:PIERSON, SARA JANE (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:JANE
Last Name:PIERSON
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 N WALNUT AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5312
Mailing Address - Country:US
Mailing Address - Phone:830-708-9758
Mailing Address - Fax:
Practice Address - Street 1:1040 N WALNUT AVE STE A1
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5312
Practice Address - Country:US
Practice Address - Phone:830-708-9758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX366782355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant