Provider Demographics
NPI:1710339189
Name:FLOYD, SARAH ROBBINS (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROBBINS
Last Name:FLOYD
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 GALWAY DR
Mailing Address - Street 2:APT#14
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7126
Mailing Address - Country:US
Mailing Address - Phone:252-903-6498
Mailing Address - Fax:
Practice Address - Street 1:164 GALWAY DR
Practice Address - Street 2:APT#14
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7126
Practice Address - Country:US
Practice Address - Phone:252-903-6498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11054235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist