Provider Demographics
NPI:1790808475
Name:FOULK, SARA ELIZABETH (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ELIZABETH
Last Name:FOULK
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Gender:F
Credentials:MS CCC SLP
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Mailing Address - Street 1:701 WEST WETMORE ROAD
Mailing Address - Street 2:AMPHITHEATER PUBLIC SCHOOLS
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1547
Mailing Address - Country:US
Mailing Address - Phone:520-696-5237
Mailing Address - Fax:520-696-5067
Practice Address - Street 1:701 WEST WETMORE ROAD
Practice Address - Street 2:AMPHITHEATER PUBLIC SCHOOLS
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1547
Practice Address - Country:US
Practice Address - Phone:520-696-5237
Practice Address - Fax:520-696-5067
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZSLP0558235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist