Provider Demographics
NPI:1790399707
Name:TRAVERS, SARAH (MS, CC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TRAVERS
Suffix:
Gender:F
Credentials:MS, CC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 CARRIAGE HILL DR
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5341
Mailing Address - Country:US
Mailing Address - Phone:617-669-4570
Mailing Address - Fax:
Practice Address - Street 1:233 CARRIAGE HILL DR
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5341
Practice Address - Country:US
Practice Address - Phone:617-669-4570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist