Provider Demographics
NPI:1881825651
Name:KRAUS, SARAH MARY (MS/CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARY
Last Name:KRAUS
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARY
Other - Last Name:COSTELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3613 SOUTH 13TH STREET
Mailing Address - Street 2:MEADOW VIEW MANOR
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081
Mailing Address - Country:US
Mailing Address - Phone:920-458-4040
Mailing Address - Fax:920-208-2982
Practice Address - Street 1:1609 COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW HOLSTEIN
Practice Address - State:WI
Practice Address - Zip Code:53061-1629
Practice Address - Country:US
Practice Address - Phone:920-898-5627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3229-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist