Provider Demographics
NPI:1265763494
Name:THOMAS, SARAH E (MHS, CCC-SLP AN MED)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MHS, CCC-SLP AN MED
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 E DUNKLIN ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-3128
Mailing Address - Country:US
Mailing Address - Phone:573-659-3000
Mailing Address - Fax:
Practice Address - Street 1:315 E DUNKLIN ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-3128
Practice Address - Country:US
Practice Address - Phone:573-659-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008013775235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist