Provider Demographics
NPI:1790991370
Name:HAYES, SARAH T (MA, MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:T
Last Name:HAYES
Suffix:
Gender:F
Credentials:MA, MS CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:T
Other - Last Name:STRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 57
Mailing Address - Street 2:
Mailing Address - City:RYE BEACH
Mailing Address - State:NH
Mailing Address - Zip Code:03871-0057
Mailing Address - Country:US
Mailing Address - Phone:603-964-6091
Mailing Address - Fax:203-413-6251
Practice Address - Street 1:650 CENTRAL RD
Practice Address - Street 2:
Practice Address - City:RYE BEACH
Practice Address - State:NH
Practice Address - Zip Code:03871-0057
Practice Address - Country:US
Practice Address - Phone:603-964-6091
Practice Address - Fax:203-413-6251
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP317235Z00000X
NH0367235Z00000X
MA3231235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH520867204OtherCIGNA
NH99000465Medicaid
NH66Y008496NH01OtherANTHEM BC BS
NH99000465Medicaid