Provider Demographics
NPI:1700224961
Name:CHAUHAN, SARA K (SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:K
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 KIROLI RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-7095
Mailing Address - Country:US
Mailing Address - Phone:318-366-4035
Mailing Address - Fax:
Practice Address - Street 1:107 SUMMER LN
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-3501
Practice Address - Country:US
Practice Address - Phone:318-396-1969
Practice Address - Fax:318-396-1970
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist