Provider Demographics
NPI:1942726096
Name:LAMBERT, SARAH DANIELS (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DANIELS
Last Name:LAMBERT
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 1:727 ROCKY BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-5603
Mailing Address - Country:US
Mailing Address - Phone:559-920-0820
Mailing Address - Fax:
Practice Address - Street 1:727 ROCKY BRANCH LN
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-5603
Practice Address - Country:US
Practice Address - Phone:559-920-0820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP009669235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist