Provider Demographics
NPI:1811018906
Name:MOUSER, SARAH ERVIN (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ERVIN
Last Name:MOUSER
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 FARM BROOK DR
Mailing Address - Street 2:STE B
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2178
Mailing Address - Country:US
Mailing Address - Phone:910-738-4856
Mailing Address - Fax:
Practice Address - Street 1:106 FARM BROOK DR
Practice Address - Street 2:STE B
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2178
Practice Address - Country:US
Practice Address - Phone:910-738-4856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5705231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist