Provider Demographics
NPI:1801027784
Name:CARTER, SARAH E (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7571 STATE ROUTE 54
Mailing Address - Street 2:IRA DAVENPORT MEMORIAL HOSP., REHAB SERVICES DEPT.
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-9504
Mailing Address - Country:US
Mailing Address - Phone:607-776-8880
Mailing Address - Fax:
Practice Address - Street 1:7571 STATE ROUTE 54
Practice Address - Street 2:IRA DAVENPORT MEMORIAL HOSP., REHAB SERVICES DEPT.
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-9504
Practice Address - Country:US
Practice Address - Phone:607-776-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018835-1235Z00000X
PASL007964235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist