Provider Demographics
NPI:1821477266
Name:HAKE, SARAH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:HAKE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W HALE ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:NE
Mailing Address - Zip Code:68715-4469
Mailing Address - Country:US
Mailing Address - Phone:402-980-4480
Mailing Address - Fax:
Practice Address - Street 1:EDUCATIONAL SERVICE UNIT #8
Practice Address - Street 2:110 W 3RD ST
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756
Practice Address - Country:US
Practice Address - Phone:402-887-5041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1749235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist