Provider Demographics
NPI:1831497593
Name:RAY, SARAH EMILY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:EMILY
Last Name:RAY
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 1:1608 MONTE VISTA ST
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4819
Mailing Address - Country:US
Mailing Address - Phone:806-244-8255
Mailing Address - Fax:806-244-8255
Practice Address - Street 1:1608 MONTE VISTA ST
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4819
Practice Address - Country:US
Practice Address - Phone:806-244-8255
Practice Address - Fax:806-244-8255
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13933235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01124439OtherASHA CERTIFICATION SPEECH - LANGUAGE PATHOLOGIST
TX13933OtherTEXAS LICENSE SPEECH - LANGUAGE PATHOLOGIST