Provider Demographics
NPI:1952063257
Name:THOMASSON, SARAH ASHLEY (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ASHLEY
Last Name:THOMASSON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ASHLEY
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:8012 SHIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-2413
Mailing Address - Country:US
Mailing Address - Phone:214-708-1000
Mailing Address - Fax:
Practice Address - Street 1:8012 SHIN OAK DR
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-2413
Practice Address - Country:US
Practice Address - Phone:214-708-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14094376235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist