Provider Demographics
NPI:1720388598
Name:HESS, SARA CHRISTINE (MS TSSLD CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:CHRISTINE
Last Name:HESS
Suffix:
Gender:F
Credentials:MS TSSLD CCC-SLP
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:CHRISTINE
Other - Last Name:CARBONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS TSSLD CCC-SLP
Mailing Address - Street 1:1782 BRUSH RD
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-9713
Mailing Address - Country:US
Mailing Address - Phone:607-968-1190
Mailing Address - Fax:
Practice Address - Street 1:1782 BRUSH RD
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-9713
Practice Address - Country:US
Practice Address - Phone:607-968-1190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020532235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist